2020年-2022年金华白龙桥镇居民结直肠癌筛查结果分析

Analysis of colorectal cancer screening results from 2020 to 2022 in Bailongqiao Town,Jinhua City

目的了解金华白龙桥镇居民结直肠癌筛查情况,为促进本地区开展结直肠癌防控工作提供依据。方法对2020年一2022年本地区50岁~74岁居民采用结直肠癌高危因素问卷调查法及粪便隐血试验进行初筛,其中男性3493例,女性4441例,建议初筛阳性者至定点医院进一步检查。结果7934例居民中初筛高危数为1284例,高危率为16.18%,其中男性高危人数777例,高危率为22.24%;女性高危人数507例,高危率为11.42%;男性的高危率高于女性,差异有统计学意义(χ^(2)=168.85,P<0.005)。487例初筛阳性者参加了肠镜检查,检查率为37.93%;肠镜检查者中,男性占51.54%,女性占48.46%。女性在肠镜检查依从率高于男性,差异有统计学意义(χ^(2)=26.64,P<0.005)。在肠镜检查者中,检出进展期腺瘤(AA)59例,检出率为12.11%;非进展期腺瘤(N-AA)103例,检出率为21.15%;确诊结直肠癌(CRC)3例,检出率1.85%。男性AA、N-AA的检出率高于女性,差异有统计学意义(P<0.05)。结论结直肠癌筛查项目可发现结直肠病变,有助于疾病早期干预从而早诊早治,但依从率仍相对较低,需要强化宣传,提升早期筛查意识,提高结直肠癌筛查的顺应性,对开展结直肠癌防控具有积极作用。

Objective This paper aims to understand the status of colorectal cancer screening in Bailongqiao Town,Jinhua City and provide basis for promoting the prevention and control of colorectal cancer in this region.Methods High-risk factor ques-tionnaire(CRCHRFQ)survey for colorectal cancer and fecal occult blood test(FOBT)were conducted among residents aged 50-74 years(3494 men and 4441 women)from 2020 to 2022.Initial positive cases were sent to the designated hospital for further examination.Results Among the 7934 residents,there were 1284 high-risk cases(16.18%),among which 777 high-risk cases were male(22.24%);there were 507 female high risk cases,and the high risk rate was 11.42%;the high risk rate of men was higher than that of women,and the difference was statistically significant(χ^(2)=168.85,P<0.005).Colonoscopy was performed in 487 patients with positive initial screening,and the examination rate was 37.93%.Among those who underwent colonoscopy,51.54%were male and 48.46%were female.The compliance rate of female colonoscopy was higher than that of male,and the difference was statistically significant(χ^(2)=26.64,P<0.005).59 cases of advanced adeno-ma(AA)were detected by colonoscopy,the detection rate was 12.11%.There were 103 cases of non-advanced adenoma(N-AA),the detection rate was 21.15%.Three cases of colorectal cancer(CRC)were diagnosed,with a detection rate of 1.85%.The detection rates of AA and N-AA in males were higher than those in females,and the difference was statistically significant(P<0.05).Conclusion Colorectal cancer screening programs can detect colorectal lesions and facilitate early intervention for early diagnosis and treatment.However,the compliance rate is stll relatively low,and it is necessary to strengthen publicity,enhance the awareness of early screening,and improve the compliance of colorectal cancer screening,which plays a positive role in the prevention and control of colorectal cancer.