2012—2022年天津市结直肠癌筛查结果分析

Analysis of Colorectal Cancer Screening Results in Tianjin from 2012 to 2022

[目的]分析2012—2022年天津市结直肠癌筛查结果。[方法]采用结直肠癌问卷风险评估和免疫法便潜血试验(FIT)相结合的方法筛查出目标人群中的结直肠癌高危人群,对其行全结肠镜检查。[结果]2012—2022年天津市结直肠癌筛查项目累计完成结直肠癌风险评估问卷调查7126853份,FIT检测5570502份。其中发现高危人群319035人(占比4.48%),早诊率达到86.27%。另外,全结肠镜检出腺瘤72962例、进展期腺瘤15097例,锯齿状腺瘤1736例、其他伴上皮高级别瘤变632例、早期癌1109例、中晚期癌2955例。[结论]社区人群中开展结直肠癌筛查工作,普及结直肠癌防治知识,提高居民筛查知晓率,可使结直肠癌疾病负担得到有效控制。

[Purpose]To analyze the colorectal cancer screening results of Tianjin from 2012 to 2022.[Methods]The colorectal cancer screening program was conducted from 2012 to 2022.The combination of a questionnaire-based risk assessment and fecal immunochemical test(FIT)was used for screening the high-risk individuals of colorectal cancer among the target populations,a total colonoscopy was performed for identified high-risk subjects.[Results]By the end of 2022,7126853 colorectal cancer questionnaire assessments and 5570502 FITs were conducted,and about 319035 high-risk individuals(accounting for 4.48%of the total)were identified,86.27%of whom underwent colonoscopic examinations.A total of 72962 cases of adenomas,15097 cases of advanced adenoma,1736 cases of serrated adenoma,632 cases of high-grade colorectal intraepithelial neoplasia,1109 cases of early cancer and 2955 cases of advanced cancer were detected by the colonoscopy.[Conclusion]The colorectal cancer screenings among the general population and knowledge popularization of colorectal cancer prevention and treatment would reduce the burden of colorectal cancer effectively.