1000例健康查体人群食管癌早期筛查结果分析

Analysis of the Results of Early Screening for Esophageal Cancer in 1000 Healthy People

目的通过对1 000例健康查体人群食管癌早期筛查结果进行分析,为食管癌的早期诊断提供依据。方法选择2016年12月-2018年12月在济宁市第一人民医院泗水院区查体中心进行健康查体的患者1 000例为观察对象。所有患者均行CT检查,对高度怀疑有食管病变的患者行内镜检查并取活检做病理诊断,分析各级别食管病变检出率情况及各级别食管病变检出率在年龄、性别的分布。结果 1 000例患者中,食管基底细胞增生、异型增生、黏膜内癌、黏膜下癌、浸润癌分别为4.10%、5.9%、0.60%、0.90%、0.80%,食管癌的检出率为2.3%。进一步分析发现,食管癌的检出率与年龄及性别有关,>60岁以上的男性检出率高。结论该地区食管癌的检出率位于山东省的平均水平。60岁以上的男性为食管癌普查的重点。

Objective To analyze the early screening results of esophageal cancer in 1000 healthy people, and provide evidence for the early diagnosis of esophageal cancer. Methods A total of 1,000 patients who underwent physical examinations at the Physical Examination Center of the Sishui District of Jining First People’s Hospital from December 2016 to December2018 were selected as observation objects. All patients underwent CT examinations. Endoscopic examinations were performed on patients with a high degree of esophageal lesions and biopsies were taken for pathological diagnosis. The detection rate of esophageal lesions at all levels and the distribution of esophageal lesions at different levels in age and gender were analyzed. Results Among 1000 patients, esophageal basal cell proliferation, dysplasia, intramucosal cancer, submucosal cancer, and invasive cancer were 4.10%, 5.9%, 0.60%, 0.90%, and 0.80%, respectively. The detection rate of esophageal cancer was 2.3%. Further analysis found that the detection rate of esophageal cancer was related to age and gender, and the detection rate was higher in men> 60 years of age. Conclusion The detection rate of esophageal cancer in our region is the average level in Shandong Province. Men over the age of 60 are the focus of the esophageal cancer screening.