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[目的]评价盐亭县2006~2011年食管癌筛查和早诊早治项目的开展情况及其其效果。[方法]收集2006~2011年盐亭当地人口情况、食管癌发病死亡登记资料以及2006~2011年间食管癌筛查和早诊早治的相关资料,比较筛查人群与当地非筛查人群的早诊早治情况以及患者的预后情况,并对项目组工作人员进行定性访谈。[结果]2006~2011年共计筛查40~69岁年龄段人群15065人,发现阳性病例1186例。除2006年,其余各年食管癌筛查的早诊率均超过了70%,总的早治率为96.58%。筛查人群中食管癌患者的1年、2年及5年生存率均明显高于非筛查人群(P<0.001)。[结论]食管癌筛查及早诊早治项目确可做到癌症早发现、早诊断及早治疗。在食管癌高发区开展筛查及早诊早治,对于提高当地人群的生存率和生命质量,减少患者的医疗费用以及节省当地卫生资源都具有重要意义。
[Objective] To evaluate the progress of esophageal cancer screening and early diagnosis and early diagnosis and treatment in Yanting County from 2006 to 2011 and its effects. [Methods] From 2006 to 2011, the local population of Yanting, registration data of death from esophageal cancer and esophageal cancer screening and early diagnosis and treatment of early pregnancy-related data were collected from 2006 to 2011. The comparison between screening population and local non-screening population Diagnosis and treatment of patients and the prognosis of the situation, and the project team conducted a qualitative interview. [Results] A total of 15065 people aged 40-69 were screened from 2006 to 2011, and 1186 positive cases were found. Except for 2006, the rates of early diagnosis of esophageal cancer screening in the remaining years exceeded 70% and the overall early diagnosis rate was 96.58%. The 1-year, 2-year and 5-year survival rates of esophageal cancer patients in screening population were significantly higher than those in non-screening population (P <0.001). [Conclusion] The esophageal cancer screening and early diagnosis and early diagnosis and treatment of early treatment can indeed detect the cancer early, diagnose and treat it early. Screening and early diagnosis and early diagnosis and treatment of high incidence areas of esophageal cancer are of great significance to improve the survival rate and quality of life of local population, reduce the patient’s medical costs and save local health resources.