2013年黄浦区打浦桥社区居民结直肠癌筛查分析
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摘 要 目的：分析社区居民结直肠癌筛查情况，并提出推动社区结直肠癌筛查工作的相关建议。方法：2013年采用危险度评估问卷调查和粪便隐血试验（FOBT）对黄浦区打浦桥社区45～95岁年龄段居民2 405人进行结直肠癌初筛，并对初筛高危人群行肠镜检查和分析。结果：初筛中高危人群451人，阳性率为18.75%，其中115人（25.5%）接受肠镜检查，确诊结直肠癌3人， 腺瘤、息肉59人。结论：在社区开展筛查有利于结直肠癌及癌前病变的早期诊断及治疗。但社区居民结直肠癌肠镜检查率偏低，需加强居民结直肠癌癌筛查的宣教动员工作。
关键词 结直肠癌 筛查 粪便隐血试验 肠镜
中图分类号：R735.3+4 文献标识码：B 文章编号：1006-1533（2015）06-0025-03
ABSTRACT Objective： To analyze the colorectal cancer screening in the community residents and put forward the related suggestion to promote the community colorectal cancer screening. Methods： The preliminary colorectal cancer screening was carried out to the residents aged from 45 to 95 years old with the risk evaluation questionnaire and FOBT in Dapuqiao Community of Huangpu District in 2013. Colonoscopy was performed among the high risk population obtained from the preliminary screening and their results were analyzed. Results： In the preliminary screening， 451 cases were in the high-risk group and the positive rate 18.75%. Colonoscopy was performed in 115 cases （25.5%） among the high-risk group， and 3 cases were diagnosed as colorectal cancer， and 59 cases as adenomatous polyps and colonic polyps. Conclusion： Development of the community screening is beneficial to the earlier diagnosis and treatment of colorectal cancer and precancerous lesions. But the screening rate of colonoscopy was low in the community...
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