摘要
目的鹤壁市地处太行山区,是国家食管癌高发区,借助于探讨鹤壁市40~69岁健康农民上消化道癌发病状况,了解受检者年龄、性别与上消化道早癌、进展期癌检出率、早诊率的相关性,以及食管癌发生与部位的相关性,为有效防治上消化道癌的发生提供依据。方法按照《上消化道癌筛查及早诊早治技术方案》标准,2013-08-01—2019-06-30对鹤壁市辖区14144名健康农民进行胃镜普查。对普查阳性结果进行汇总分析。结果共普查14144名,发现存在可疑病灶患者共7308例,总活检率为51.67%。病变发生率以胃最高,其次是食管,贲门最低。7308例可疑患者中,2834例为多处病灶共存患者,总病灶共计10503处,3个部位活检发生情况差异有统计学意义,χ~2=773.40,P<0.01。上消化道病变检出率各年龄组(χ~2=114.79,P<0.05)比较差异有统计学意义;上消化道早癌及进展期癌在食管、贲门及胃3个部位的检出率比较,差异有统计学意义,χ~2=10.57,P<0.05;食管上、中、下段检出率比较,差异无统计学意义,χ~2=1.66,P>0.05;上消化道癌早诊率约为62.78%,食管、贲门和胃3个部位的早诊率比较,差异有统计学意义,χ~2=10.57,P<0.05。结论鹤壁市上消化道癌仍是高发状况,其发生与年龄、性别和发生部位有关。在上消化道癌高发地区,规范的内镜检查可及时发现癌前病变及早期癌,提高癌症早诊率及检出率。
OBJECTIVE Hebi City is a high-risk area for national esophageal cancer located in the Taihang Mountain Area.By discussing the incidence of upper gastrointestinal cancer in healthy farmers aged 40-69 in Hebi City.This paper is trying to explore the correlation between age,gender and the detection rate of aforestated cancer,advanced cancer detection rate and early diagnosis rate.The correlation between the occurrence and the position of detected esophageal cancer is also investigated,to provide guidance for the effective prevention and treatment of upper gastrointestinal cancer.METHODS According to the"Technical Program for Screening and Early Diagnosis and Treatment of Upper Gastrointestinal Cancer",from August 1,2013 to June 30,2019,14144 healthy farmers in Hebi City were investigated for gastroscopy.This paper analyzed the samples of positive results and summarized the findings.RESULTS A total of 14144 people were surveyed,and a total of 7308 patients with suspicious lesions were found.The total biopsy rate was51.67%.The incidence of lesions was highest in the stomach,followed by the esophagus,and lowest in the cardia.Among the 7308 suspicious patients,2834 were coexisting patients with multiple lesions,with a total of 10503 lesions.There was a statistically significant difference in the occurrence of biopsy in the three sites,χ~2=773.40,P<0.01.The detection rate of upper gastrointestinal lesions was statistically significant in each age group(χ~2=114.79,P<0.05).The early gastrointestinal cancer and advanced cancer in the esophagus,cardia and stomach,the difference was statistically significant,χ~2=10.57,P<0.05;the detection rate of the upper,middle,and lower esophagus was not statistically significant,χ~2=1.66,P>0.05.The early diagnosis rate of upper gastrointestinal cancer is about 62.78%.The early diagnosis rates of the esophagus,cardia,and stomach were statistically significant,χ~2=10.57,P<0.05.CONCLUSIONS The incidence of upper gastrointestinal cancer in Hebi City is still high.Its occurrence is relate
作者
刘雁斐
赵红
袁慧敏
钞利娜
段琼
杨鹤
LIU Yan-fei;ZHAO Hong;YUAN Hui-min;CHAO Li-na;DUAN Qiong;YANG He(Gastroscope Room of South Hospital of Hebi People's Hospital,Hebi 458030,P.R.China)
出处
《社区医学杂志》
2019年第24期1536-1539,共4页
Journal Of Community Medicine
基金
国家重点研发计划(2016YFC1302800,2016YFC0901400).
关键词
上消化道癌
农民
普查
检出率
早诊早治
鹤壁市
upper gastrointestinal cancer
farmers
census
detection rate
early diagnosis and treatment
Hebi City
