摘要
目的了解2021—2023年浙江省杭州市临平区重点人群结直肠癌患病情况,为结直肠癌防治提供依据。方法选取杭州市临平区50~74岁户籍地居民为研究对象,使用《浙江省重点人群结直肠癌筛查风险评估问卷》进行调查和粪便免疫化学试验进行检测,以问卷评估为高危或粪便免疫化学试验阳性为筛查阳性,针对筛查阳性人群行结直肠镜检查,分析结直肠癌筛查阳性、肠镜检查依从性及结直肠镜检出病变情况。结果2021—2023年筛查111073人,筛查阳性23341人,阳性率为21.01%,筛查阳性并接受肠镜检查10342人,肠镜检查依从率为44.30%。2021—2023年筛查阳性率和肠镜检查依从率比较,差异有统计学意义(χ^(2)=7.672、521.114,均P<0.05)。2021—2023年结直肠镜检出结肠癌108人,检出率为1.04%;进展期腺瘤658人,检出率为6.36%;非进展期腺瘤1078人,检出率为10.42%。2021—2023年进展期腺瘤、非进展期腺瘤检出率比较,差异有统计学意义(χ^(2)=9.726、14.509,均P<0.05)。男性完成肠镜检查5068人,检出结直肠肿瘤1293人,检出率为25.51%;女性完成肠镜检查5274人,检出结直肠肿瘤1293人,检出率10.44%;男性结直肠癌、进展期腺瘤、非进展期腺瘤检出率高于女性,差异均有统计学意义(χ^(2)=17.430、108.17、233.23,均P<0.05)。不同年龄段进展期腺瘤、非进展期腺瘤检出率比较,差异有统计学意义(χ^(2)=30.436、120.000,均P<0.05)。结论杭州市临平区重点人群结直肠肿瘤检出率为17.83%,其中男性重点人群尤需关注,应进一步加强健康宣教,增强参与筛查意识。
Objective To understand the prevalence of colorectal cancer in key populations in Linping District,Hangzhou,from 2021 to 2023,and to provide a basis for colorectal cancer prevention and treatment.Methods Residents aged 50-74 years with household registration in Linping District were selected as the study participants.The″Zhejiang Province Key Population Colorectal Cancer Screening Risk Assessment Questionnaire″was used for surveys,and fecal immunochemical tests were conducted.A positive result was defined as a high-risk assessment from the questionnaire or a positive fecal immunochemical test.Colonoscopies were performed on those with positive screening results to analyze the positivity rate of screening,colonoscopy compliance,and detection of colorectal lesions.Results From 2021 to 2023,111073 people were screened,with 23341 positive cases,resulting in a positivity rate of 21.01%.Of those,10342 underwent colonoscopy,with a compliance rate of 44.30%.The positivity and compliance rates differed significantly across the years(χ^(2)=7.672,521.114,both P<0.05).Colorectal cancer was detected in 108 cases,with a detection rate of 1.04%;advanced adenoma in 658 cases,with a detection rate of 6.36%;and non-advanced adenoma in 1078 cases,with a detection rate of 10.42%.The detection rates for advanced and non-advanced adenomas differed significantly across the years(χ^(2)=9.726,14.509,both P<0.05).Males who completed colonoscopy had a significantly higher detection rate of colorectal tumors compared to females(25.51%vs.10.44%;χ^(2)=17.430,108.17,233.23,all P<0.05).The detection rates of advanced and non-advanced adenomas also differed significantly across age groups(χ^(2)=30.436,120.000,both P<0.05).Conclusion The detection rate of colorectal tumors in key populations in the Linping District remains 17.83%,with males requiring particular attention.Further health education is warranted to raise screening awareness.
作者
吴蓉丽
Wu Rongli(Hangzhou Linping Health Development Center,Hangzhou 311100,China)
出处
《保健医学研究与实践》
2023年第S02期116-119,共4页
Health Medicine Research and Practice
关键词
重点人群
结直肠癌
筛查
依从性
Key populations
Colorectal cancer
Screening
Compliance
作者简介
第一作者:吴蓉丽,E-mail:1771837487@qq.com。
