Opportunistic screening results of colorectal cancer of health examination populations in Chongqing Cancer Hospital

Tan Jingyu; Zhang Haiyan; Liang Jingqiu; Lu Meimei; Han Jing

doi:10.13406/j.cnki.cyxb.001371

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Opportunistic screening results of colorectal cancer of health examination populations in Chongqing Cancer Hospital

更新时间：2024-01-17

- Opportunistic screening results of colorectal cancer of health examination populations in Chongqing Cancer Hospital
- Journal of Chongqing Medical University Vol. 42, Issue 10, Pages: 1332-1335(2017)
- 作者机构：
  
  重庆市肿瘤研究所/医院/癌症中心健康体检与肿瘤风险筛查中心
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.001371
  CLC： R735.34
- Published：2017，
扫描看全文
Tan Jingyu, Zhang Haiyan, Liang Jingqiu, et al. Opportunistic screening results of colorectal cancer of health examination populations in Chongqing Cancer Hospital. [J]. Journal of Chongqing Medical University 42(10):1332-1335(2017)
DOI：

Tan Jingyu, Zhang Haiyan, Liang Jingqiu, et al. Opportunistic screening results of colorectal cancer of health examination populations in Chongqing Cancer Hospital. [J]. Journal of Chongqing Medical University 42(10):1332-1335(2017) DOI： 10.13406/j.cnki.cyxb.001371.

摘要

目的:为了解重庆市城镇居民结直肠癌高危人群现况

提高结直肠癌及其癌前病变的早诊早治率。方法:该研究选取重庆市主城区常住户籍40

4岁居民主动到重庆市肿瘤医院进行体检的人群为筛查对象

按照知情同意自愿原则进行结直肠癌的初筛（包括问卷+粪便隐血试验）

被评估为结直肠癌高危人群的个体自愿接受结直肠镜+病理活检临床筛查

分析评估结直肠癌的高风险率、筛查率和检出率。结果:初筛2 957人中

513例筛查对象被评估为结直肠癌高危人群

高风险率为17.35%。高危人群中

278例接受了结直肠镜筛查

参检率为54.19%;高危人群结直肠镜筛查共检出134例异常结果（包括结直肠癌2例

癌前病变31例

良性病变101例）

总检出率为48.20%。结论:通过高危人群问卷调查评估以及粪便隐血试验

可以有针对性地开展结直肠癌的初步筛查

进一步实施结直肠镜筛查

从而尽早发现肿瘤

提高肿瘤的治疗效果和防控水平。

Abstract

Objective:To investigate the prevalence of the high-risk populations of colorectal cancer（CRC）in Chongqing

and to improve the rates of early diagnosis and early treatment of CRC. Methods:The residents aged from 40 to 74 years old in Chongqing urban area were preliminarily screened with the questionnaire survey and fecal occult blood test（FOBT）

and the high-risk populations screened out were examined by the colonoscopy voluntarily. The CRC screening rates and detection rates were assessed. Results:Totally 2 957 cases were preliminarily screened

513 cases were screened out as the high-risk of CRC populations. The positive rate was17.35%. Among the high-risk populations

278 cases were examined by the colonoscopy. The colonoscopy screening rates was 54.19%.One hundred and thirty-four cases were found colorectal disease

including 2 cases of colorectal cancer

31 cases of pre-malignant lesions

and 101 cases of benign lesions. The detection rate was 48.20%. Conclusion:The questionnaire survey with the FOBT can effectively discover the high-risk population of colorectal disease and precancerous. The colonoscopy is recommended afterwards so that we can achieve the early diagnosis and early treatment of CRC.

关键词

结直肠癌癌前病变高危人群机会性筛查

Keywords

colorectal cancerpre-malignant lesionshigh-risk populationsopportunistic screening

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Related Institution

Department of Health Examination and Cancer Risk Screening,Chongqing Cancer Institute & Hospital & Cancer Center

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Research Center for Medicine and Social Development,School of Public Health,Chongqing Medical University

Department of Health Laboratory Technology,School of Public Health,Chongqing Medical University

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