2007—2021年山东省淮河流域癌症早诊早治项目筛查结果初步分析

Preliminary Results of Cancer Screening Program in Huaihe River Basin of Shandong Province from 2007 to 2021

[目的]分析2007—2021年山东省淮河流域癌症早诊早治项目筛查结果。[方法]汇总2007—2021年山东省淮河流域癌症早诊早治项目临床筛查数据,分别计算各筛查癌种的检出率、早诊率、治疗率等指标。[结果]2007—2021年全省累积完成132 905人次筛查,平均检出率、早诊率、治疗率分别为0.79%、74.76%、85.56%;上消化道癌筛查效果优于肝癌筛查,其中上消化道癌联合筛查的三率最高,分别为1.34%、79.01%、90.53%;肝癌除早诊率(73.87%)外,检出率、治疗率均最低(0.34%、63.96%)。对上消化道癌筛查县(市、区)进一步分析,发现食管阳性病例检出率(0.60%)高于胃阳性病例(0.34%)。[结论]山东省淮河流域癌症早诊早治项目整体筛查效果较好,需关注胃部染色和活检,加强宣传和可疑肝癌病例的随访治疗,以进一步提高项目筛查效果。

[Purpose] To analyze the results of cancer screening program in Huaihe River basin of Shandong Province from 2007 to 2021. [Methods] Based on the cancer screening program conducted in Shandong Province from 2007 to 2021, the databases of clinical screening were analyzed, and the detection rates, the early stage diagnosis rates and treatment rates were calculated,respectively. [Results] A total of 132 905 residents were screened in the program from 2007 to2021, with average detection rate of 0.79%, early stage diagnosis rate of 74.76%, and treatment rate of 85.56%. The effect of upper gastrointestinal cancer screening was better than that of liver cancer screening. The detection rates of upper gastrointestinal cancer was the highest(1.34%), and the rates of early stage diagnosis and treatment were 79.01% and 90.53% respectively, which were also the highest. The early stage diagnosis rate of liver cancer was high, but the rates of detection and treatment(0.34% and 63.96%) were the lowest. The detection rate of esophagus positive was higher than that of stomach, with 0.60% versus 0.34% for all upper gastrointestinal cancer screening counties. [Conclusions] The cancer screening program of Huaihe River basin of Shandong has achieved good effects. In order to improve the screening effectiveness, more efforts should be put into gastric staining and biopsy, also the follow-up and treatment of the suspicious liver cancer patients.