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目的]探索常见恶性肿瘤自筛方法。[方法]通过科普宣传教育 ,让群众学会自查体表部位 ;每年用自查盒助查各空腔脏器有无隐血 ,可疑时 ,去医院进一步精查。北京部分大学40岁～70岁居民自愿入组1万人 ,分成试验组、对照组各5000人。[结果]1996年～1999年底试验组共检出79例癌 ,年平均癌检出率482 5/10万 ,癌死亡率为12 2/10万 ;对照组癌死亡率206 2/10万 ,两组差异有显著性。在癌症高发区 ,同时作扩大普查试验 :广东四会市肿瘤所门诊普查1689人 ,检出25例癌 ,鼻咽癌24例。1999年～2000年 ,江苏省食管癌胃癌高发区普查近8万人 ,检出480例癌。加上“九五”以前的普查统计 ,用秦氏自查盒已筛查431075人 ,检出1272例癌 ,癌前病变1万多例。[结论]开展科普宣教 ,防癌自查普查 ,理论与实践相符 ,方法简便、经济、实用 ,值得推广应用
Objectives] To explore common malignant tumor self-screening methods. [Methods] Through science propaganda and education, let the people learn to self-inspect the body surface; use self-inspection box every year to check whether there is occult blood in empty organs, and if it is suspicious, go to the hospital for further investigation. Some 40- to 70-year-old residents of some universities in Beijing voluntarily enrolled 10,000 people and were divided into experimental and control groups of 5,000. [Results] A total of 79 cases of cancer were detected in the experimental group from the end of 1996 to the end of 1999. The annual average cancer detection rate was 482 5/100 000, the cancer mortality rate was 12 2/100 000, and the control group had a cancer mortality rate of 206 2/100,000. The difference between the two groups was significant. In the high-incidence areas of cancer, an extended census experiment was conducted at the same time: a total of 1689 outpatients from the Tuihui Tumor Institute in Guangdong Province detected 25 cases of cancer and 24 cases of nasopharyngeal carcinoma. From 1999 to 2000, there were nearly 80,000 general surveys of high-risk areas of esophageal cancer in Jiangsu Province, and 480 cases of cancer were detected. In addition to the census statistics prior to the “Ninth Five-Year Plan” period, 431,075 people were screened with the Qin self-check box, and 1272 cases of cancer and 10,000 cases of precancerous lesions were detected. [Conclusion] The popularization of popular science education and self-census anti-cancer survey is consistent with the theory and practice. The method is simple, economical and practical. It is worth popularizing and applying.