上海市虹口区2013年社区居民大肠癌筛查实践

Practice on Screening for Colorectal Cancer Among Community Residents in Hongkou District of Shanghai in 2013

目的探索分析城市社区人群大肠的癌筛查方法与结果。方法2013年,对上海市虹口区八个街道的41,662名年龄≥40岁常住居民开展大肠癌筛查。大肠癌危险度评估为阳性或2次便隐血试验(FOBT)中任意1次检查结果为阳性者即为筛查阳性,再对筛查结果阳性者进行结肠镜明确诊断。结果在41,662名筛查对象中,筛查阳性者为8,534;接受结肠镜检查者共1,202人,受检率14.08%。病理诊断结果显示:结直肠癌有19例,检出率为45.61/105;结直肠癌癌前病变有353例,检出率为847.29/105。结论危险度评估结合FOBT进行城市大肠癌初筛便捷有效。

Objective To explore and analyze the screening methods and results of colorectal cancer among urban community population. Methods In 2013, 41,662 residents aged over 40 were screened for colorectal cancer in eight Streets of Hongkou District, Shanghai. If the risk of colorectal cancer was positive, or if the result of any one of the two FOBT tests was positive, the screening would be positive, and then the positive screening results would be diagnosed by colonoscopy. Results Of the 41,662 screening subjects, 8,534 were positive, and 1,202 were examined by colonoscopy with a detection rate of 14.08%. Pathological diagnosis showed that there were 19 cases of colorectal cancer with a detection rate of 45.61/105, and 353 cases of precancerous lesions of colorectal cancer with a detection rate of 847.29/105. Conclusion Risk assessment combined with FOBT is a convenient and effective method for primary screening of colorectal cancer in urban areas.