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目的:分析肥城市自愿参加碘染色内镜食管疾病普查和全人群高应答率普查两类资料,为进一步探讨在食管癌高发区开展碘染色内镜普查可滚动持续发展的模式提供基础。方法:自愿参加普查组普查免费、治疗自费,高应答率普查组普查费和治疗费用全免,分析两组人群的食管疾病检出率和成本效益比率。结果:自愿参加普查组总应答率22.10%,高应答率普查组为79.99%;自愿参加普查组食管疾病的检出率显著高于高应答率普查组,自愿参加普查组的成本效益比率为1.0∶5.7,高应答率普查组为1.0∶1.43。结论:自愿参加普查组成本效益比率远远高于高应答率普查组,如何筛选需要进行内镜普查的高危险性个体是需要解决的关键问题。
OBJECTIVE: To analyze two types of data such as voluntarily participating in iodine-staining endoscopic esophageal disease survey and general population high-response rate survey in Feicheng City, which provide a basis for further exploring the mode of rolling sustainable development in iodine-staining endoscopy in areas with high incidence of esophageal cancer. Methods: The census voluntarily participate in the census group free of charge, treatment at their own expense, the high response rate census group census fee and treatment cost free, analysis of two groups of people esophageal disease detection rate and cost-benefit ratio. Results: The total response rate of voluntary participation in the census group was 22.10% and that of the high response rate survey group was 79.99%. The detection rate of esophageal disease in voluntary participation census group was significantly higher than that of the high response rate census group. The cost-benefit ratio of voluntary census group was 1.0 : 5.7, high response rate of the census group was 1.0: 1.43. CONCLUSION: The cost-benefit ratio of voluntary participation in census is much higher than that of high-response rate census. How to screen high-risk individuals who need endoscopic screening is a key issue to be solved.