综合筛查在南翔社区老年大肠癌早发现的应用及效果评价.DOCVIP

综合筛查在南翔社区老年大肠癌早发现的应用及效果评价 　　（上海市嘉定区南翔镇社区卫生服务中心 上海 201802） 　　摘 要 目的：了解南翔社区中老年人群大肠癌发病情况。方法：对50岁以上的常驻退休人群，采用问卷调查和粪便潜血试验相结合的方法进行初筛，全结肠镜检查进行复筛。结果：实际参加初筛6 812人，初筛顺应率为98.1%，阳性率24.1%；应复筛1 642人，实际复筛712人，复筛顺应率为43.4%，阳性率30.4%。大肠病变肠镜检出率男高于女。检出大肠癌患者10例，其中早期癌1例，中晚期癌9例，大肠癌检出率为1.4%。大肠腺瘤11例，非腺瘤性息肉162例。结论：大肠癌综合筛查发现南翔地区居民大肠癌发病率较高；综合筛查方案对中老年人群大肠癌早发现有较好的作用和效果。 　　关键词 大肠癌 病变 综合筛查 　　中图分类号：R199 文献标识码：A 文章编号：1006-1533（2014）18-0044-02 　　Evaluation of the application of the comprehensive screening in the early detection of the elderly colorectal cancer in Nanxiang Community and its effect 　　PU Xiaodi， ZHU Yaping 　　（Nanxiang Community Health Service Center of Jiading District， Shanghai 201802， China） 　　ABSTRACT Objective： To explore the incidence of the colorectal cancer in the elderly population in Nanxiang Community. Methods： The permanent retired population over the age of 50 was screened with the methods of the questionnaire survey combined with the fecal occult blood test， and the entire colon was examined with the colonoscopy for re-screening. Results： In the actual preliminary screening there were 6 812 participants， and their screening compliance rate was 98.1%， and the positive rate was 24.1%. One thousand and six hundred and forty-two people should be re-screened， and 712 were actually done， whose re-screening compliance rate was 43.4% and the positive rate was 30.4%. The comparison of the colorectal lesion detection rate of colonoscopy showed that the male rate was higher than the female one. Ten cases of the colorectal cancer were detected， including 1 case of the early cancer， 9 patients with the advanced cancers， and the colorectal cancer detection rate was 1.4‰. Eleven cases were adenomas， and 162 non adenomatous polyps. Conclusion： The colorectal cancer comprehensive screening of the residents in Nanxiang area has found that the incidence of the colorectal cancer is high in the community residents， and the comprehensive screening program for the elderly population in e