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[目的]通过大肠癌早诊早治项目,分析沈阳市苏家屯地区居民大肠癌发病情况。[方法]对苏家屯地区40~74岁人群采用问卷调查和粪便潜血实验免疫金标法(FIT)相结合筛出高危人群,对高危人群进行全大肠镜检查。[结果]目标人群40 157人中接受初筛人数为16 893人,顺应率为42.07%。初筛出高危人群3139人,占筛查人数18.58%。进行肠镜检查1655人,顺应率为52.72%。检出进展期腺瘤、大肠癌及类癌共83例。早诊率为95.18%,治疗率为100%。苏家屯地区居民大肠癌检出率为37.35/10万。[结论]苏家屯地区大肠癌检出率略高于我国农村地区平均水平。大肠癌筛查方案适用于城郊地区开展,可提高大肠癌的早诊率,对提高治愈率及延长生存期有重要意义。
[Objective] To analyze the incidence of colorectal cancer in residents of Sujiatun, Shenyang through early diagnosis and treatment of colorectal cancer. [Methods] The 40-174-year-old population in Sujiatun district were enrolled in the high-risk population by questionnaire and FIT method. [Results] Among the 40 157 target population, 16 893 were enrolled, with a compliance rate of 42.07%. Preliminary screening of 3139 high-risk groups, accounting for 18.58% of the number of screening. 1655 colonoscopies, compliance rate was 52.72%. A total of 83 cases of adenomas, colorectal carcinomas and carcinoids were detected. The diagnosis rate was 95.18% and the treatment rate was 100%. The detection rate of colon cancer in residents of Sujiatun was 37.35 / 100000. [Conclusion] The detection rate of colorectal cancer in Sujiatun area is slightly higher than the average of rural areas in our country. Colorectal cancer screening program for suburban areas to carry out, can improve the rate of early diagnosis of colorectal cancer, to improve the cure rate and prolong survival is of great significance.