北京大学首钢医院社区大肠癌筛查调查分析

目的总结本院社区大肠癌筛查及结肠镜检查结果,探讨进一步提高癌前病变和早期大肠癌检出率、减少大肠癌发病率的方法。方法2016年3月至2018年9月对本院所属四个社区卫生服务中心消化科就诊患者进行问卷调查及粪便潜血试验,针对高危人群进行结肠镜检查,对结肠镜检查结果进行分析。结果参与筛查及完成结肠镜检查的女性患者均多于男性;息肉总检出率为35.6%,男性检出率(42.6%)高于女性(31.7%)(P<0.05);腺瘤总检出率为29.3%,男性检出率(35.5%)高于女性(25.8%)(P<0.05)。结论对无明显症状的社区居民进行大肠癌筛查,尤其是男性居民,可提早发现并处理癌前病变和早期大肠癌,有效降低大肠癌的发病率。

Analysis of colorectal cancer screening in the communities of Peking University Shougang Hospital

Objective To summarize the results of colorectal cancer screening and colonoscopy in the community of our hospital, and to explore the methods to further improve the detection rate of precancerous lesions and early colorectal cancer and reduce the incidence of colorectal cancer. Methods From March 2016 to September 2018, survey by questionnaire and fecal occult blood test were carried out in patients who visting gastroenterology department of the four community health service centers affiliated to our hospital. Colonoscopy was performed in the high-risk population and the results of colonoscopy were analyzed. Results The number of women who participated in the screening and completed colonoscopy was more than that of men;the total examination rate of polyps was 35.6%, and the male detection rate(42.6%) was higher than that of female(31.7%)(P<0.05);the total detection rate of adenomas was 29.3%, and the detection rate of male(35.5%) was higher than that of female(25.8%)(P<0.05). Conclusion Colorectal cancer screening for the community residents who were no obvious warning symptoms of colorectal cancer, especially the male, can detect and treat precancerous lesions and early colorectal cancer in advance, and effectively reduce the incidence of colorectal cancer.