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中国癌症防治杂志

中国癌症防治杂志 ›› 2020, Vol. 12 ›› Issue (6): 681-685.doi: 10.3969/j.issn.1674-5671.2020.12.15

• 临床研究 • 上一篇    下一篇

2014—2017年广西城市癌症早诊早治项目癌症风险评估及筛查结果分析

  

  1. 530021 南宁 广西医科大学附属肿瘤医院肿瘤防控办公室
  • 出版日期:2020-12-25 发布日期:2021-01-08
  • 通讯作者: 容敏华， E-mail: tourtair@163.com
  • 基金资助:
    国家自然科学基金项目（81860596）；广西自然科学基金项目（2016GXNSFAA380022）；广西大学生创新创业训练计划项目（02610217056C）

Assessment of cancer risk and analysis of screening results of cancer screening program in urban Guangxi from 2014 to 2017

  1. Cancer Prevention and Control Office, Guangxi Medical University Gancer Hospital, Nanning 530021, China
  • Online:2020-12-25 Published:2021-01-08

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摘要： 目的 分析 2014—2017 年广西城市癌症早诊早治项目中癌症高危评估和临床筛查结果。 方法 采用整群抽样的方法选取2014年11月至2017年8月广西南宁市西乡塘区和青秀区的40~74岁常住户籍人口为调查对象，以《防癌风险评估问卷》对其进行调查，评估出五大癌症（肺癌、上消化道癌、肝癌、结直肠癌和乳腺癌）高危人群并进行临床筛查，分析各癌种的高风险率、筛查参与率和检出率。结果 共152 630人完成问卷调查和风险评估，癌症高危72 376人（47.62%），其中肺癌、食管癌、胃癌、肝癌、结直肠癌和女性乳腺癌评估的高风险率分别为25.66%、17.39%、26.11%、28.95%、22.19%、32.76%；男性肺癌高风险率高于女性，女性食管癌、胃癌、肝癌、结直肠癌高风险率高于男性。肺癌、乳腺癌、肝癌、结直肠癌、上消化道癌的临床筛查参与率依次为26.42%、25.18%、25.03%、11.31%、7.68%。临床筛查结果显示，疑似肺癌、疑似肝癌、乳腺BI-RADS 4～5级、结直肠癌和上消化道癌的检出率分别为0.58%、0.05%、2.79%、0.13%和0.12%。结论 2014—2017年广西城市癌症早诊早治项目癌症筛查参与率及各癌种阳性病变检出率均不高，需提高区域人群防癌意识和体检筛查参与度，进一步识别癌症高危人群，提高筛查效果。

关键词: 广西, 城市, 癌症筛查, 风险评估

Abstract: Objective To analyze the results of high risk assessment and clinical screening of cancer screening program in urban Guangxi from 2014 to 2017. Methods The aged 40 to 74 residents from Xixiangtang district and Qingxiu district in Nanning of Guangxi from November 2014 to August 2017 were recruited using the cluster sample method. The “Cancer Prevention Risk Assessment Questionnaire” was used in the survey to assess the five major cancers(lung cancer, upper gastrointestinal cancer, liver cancer, colorectal cancer and breast cancer) high-risk groups, then clinical screening was conducted, and the high risk of each cancer risk rate, screening participation rate and detection rate were analyzed. Results A total of 152 630 participants completed the questionnaires and risk assessments and 72 376(47.62%) people at high-risk. Among, The high risk rates of lung cancer, esophageal cancer, stomach cancer, liver cancer, colorectal cancer and female breast cancer were 25.66%, 17.39%, 26.11%, 28.95%, 22.19% and 32.76%, respectively;men had a higher risk of lung cancer than women, and women had a higher risk of esophageal cancer, stomach cancer, liver cancer and colorectal cancer than men. The clinical screening participation rates of lung cancer, breast cancer, liver cancer, colorectal cancer and upper gastrointestinal cancer were 26.42%, 25.18%, 25.03%, 11.31% and 7.68%, respectively. Clinical screening results showed that the detection rates of suspected lung cancer, suspected liver cancer, breast BI-RADS grade 4-5, colorectal cancer and upper digestive tract cancer were 0.58%, 0.05%, 2.79%, 0.13% and 0.12%, respectively. Conclusions From 2014 to 2017, the participation rate of cancer screening and the detection rate of positive lesions of cancer screening program in urban of Guangxi from 2014 to 2017 are not high. Therefore, it is necessary to improve the awareness of cancer prevention and the participation rate of physical examination and screening in high-risk area, further identify the high-risk cancer population and improve the screening effect.

Key words: Guangxi, Urban, Cancer screening, Risk assessment

中图分类号: 

  • R73-31