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[目的]探索并总结农村开展大肠癌早诊早治项目的方法、问题和效果。[方法]分析辽宁省2012年12月至2014年9月大肠癌筛查资料,探讨40~74岁适龄人群早诊早治效果。[结果 ]初筛35 999人,肠镜检查3665人,确诊大肠癌23例,其中早期癌16例,中晚期癌7例,进展期腺瘤164例。检出率5.10%,早诊率96.26%,治疗率95.72%。[结论]农村开展肠镜筛查实施大肠癌早诊早治项目是必要的、也是可行的,与医院的发展相结合是项目工作可持续性要素之一。
[Objective] To explore and summarize the methods, problems and effects of early diagnosis and treatment of colorectal cancer in rural areas. [Methods] The data of colorectal cancer screening from December 2012 to September 2014 in Liaoning Province were analyzed to explore the early diagnosis and treatment of 40 ~ 74-year-old population. [Results] The screening of 35 999 people, 3665 colonoscopy, diagnosed 23 cases of colorectal cancer, including 16 cases of early cancer, 7 cases of advanced cancer, 164 cases of advanced adenomas. The detection rate was 5.10%, the diagnosis rate was 96.26% and the treatment rate was 95.72%. [Conclusion] It is necessary and feasible to carry out enteroscopy screening in rural areas to carry out early diagnosis and treatment of colorectal cancer. Combining with the development of hospital is one of the elements of project sustainability.