社区低剂量螺旋CT筛查在早期肺癌发现中的作用

Role of Community Low Dose Spiral CT Screening in the Early Stage of Lung Cancer Discovery

目的了解社区低剂量螺旋CT筛查早期肺癌的检出效果。方法对上海市虹桥社区历年管理的1,306例肺癌高危对象开展胸部低剂量螺旋CT筛查,筛查结果呈阳性者通过绿色通道转至上级医院进行CT复查。结果发现肺癌前期1例,早期肺癌10例,非早期肺癌20例,纵隔占位5例,结节169例,磨玻璃样影13例。癌症检出率为2.37%,其中,早期肺癌占35.48%。结论社区低剂量螺旋CT筛查能有效发现早期肺癌。

Objective To evaluate community low dose spiral CT in the detection of early lung cancer. Methods A total of 1,306 high risk participants of lung cancer managed in Hongqiao Community were examined by low dose spiral CT. Positive cases were diagnosed in superior hospital through green channel. Results One case of early stage of lung cancer, 10 cases of early lung cancer, 20 cases of non-early lung cancer, 5 cases of mediastinal mass, 169 cases of nodules, and 13 cases of ground-glass opacity were detected. The cancer detection rate was 2.37%, and early lung cancer detection rate was 35.48%. Conclusion Community low-dose spiral CT screening can effectively detect early lung cancer.