首都医科大学学报 ›› 2016, Vol. 37 ›› Issue (1): 34-37.doi: 10.3969/j.issn.1006-7795.2016.01.007

• 消化系统重大疾病的全链条研究 • 上一篇    下一篇

北京云岗地区体检人群结直肠癌机会性筛查结果分析

田正凤1,2,3, 陈洪1, 翟爱军1, 王亚东4, 王贵齐5, 贺舜5   

  1. 1. 中国航天科工集团七三一医院消化及血液内科, 北京 100074;
    2. 国家消化系统疾病临床医学研究中心, 北京 100050;
    3. 首都医科大学消化病学系, 北京 100050;
    4. 首都医科大学卫生管理与教育学院, 北京 100069;
    5. 中国医学科学院肿瘤医院腔镜科, 北京 100021
  • 收稿日期:2015-12-25 出版日期:2016-02-21 发布日期:2016-02-01
  • 通讯作者: 陈洪 E-mail:chenghong161@sohu.com
  • 基金资助:
    国家自然科学基金(81302160, 81272447),国家消化系统疾病临床医学研究中心基金(2015BAI13B09)。

Investigation of colorectal cancer opportunistic screening being combined with the physical examination in Beijing Yungang

Tian Zhengfeng1,2,3, Chen Hong1, Zhai Aijun1, Wang Yadong4, Wang Guiqi5, He Shun5   

  1. 1. Department of Gastroenterology and Hematology, No. 731 Hospital of China Aerospace Science & Industry Corporation, Beijing 100074, China;
    2. National Clinical Research Center for Digestive Diseases, Beijing 100050, China;
    3. Faculty of Gastroenterology of Capital Medical University, Beijing 100050, China;
    4. Health Management and Education Institute, Capital Medical University, Beijing 100069, China;
    5. Cancer Institute & Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China
  • Received:2015-12-25 Online:2016-02-21 Published:2016-02-01
  • Supported by:
    This study was supported by National Natural Science Foundation of China (81302160, 81272447), National Clinical Research Center for Digestive Diseases (2015BAI13B09).

摘要: 目的 探索与单位年度体检相结合的结直肠癌筛查的有效性及可行性。方法 选择2013年4月至2013年7月北京云岗地区某集团40~74岁的于中国航天科工集团七三一医院体检的5 270人进行危险因素问卷调查和便潜血实验(faecal occult blood test,FOBT)相结合的初筛,高危人群进行结肠镜检查为复筛。结果 初筛的参与率100%,完成率62.87%。复筛完成率为30.33%。腺瘤性息肉检出率为22.28%。非腺瘤性息肉检出率为24.75%。结论 与单位体检相结合的结直肠癌筛查具有较高的初筛及复筛完成率,可以有效检出结直肠癌的癌前病变。

关键词: 结直肠癌, 机会性筛查, 体检人群, 癌前病变

Abstract: Objective To investigate the feasibility of colorectal cancer screening being combined with the annual physical examination in a corporation. Methods A total of 5 270 people from a corporation in Yungang who had the annual physical examination in No. 731 Hospital of China Aerospace Science & Industry Corporation, aged from 40 to 74 years, were included in this study from April 2013 to July 2013. They completed questionnaires about the risk factor and accepted FOBT. Then those at risk and tested positive would have colonoscopy.Results All people completed the questionnaires and 62.87% of them received faecal occult blood test (FOBT). The rate of colonoscopy receiving was 30.33%. 22.28% of them who had colonoscopy were suffering from adenomatous polyp, and 24.75% of them were suffering from non-adenomatous polyp. Conclusion The receiving rate of colorectal cancer screening being combined with the annual physical examination is high and it can find colorectal precancerous lesions effectively.

Key words: colorectal cancer, opportunistic screening, physical examination population, colorectal precancerous lesions

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