资源描述
,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,中国结直肠癌筛查实践方案,urban area rural area,organ 1991 2000 increase(%)1991 2000 increase(%),all 123.92 146.61 18.31 101.39 112.57 11.03,lung 32.53 42.08 29.38 14.29 21.11 47.73,liver 19.36 22.19 13.04 22.25 26.06 17.12,stomach 19.69 19.94 1.27 22.55 20.94 -7.14,colon/rectum 8.53 11.19 31.18 5.14 6.04 17.51,oesophagus 8.94 9.06 1.34 16.32 15.24 -6.62,breast 3.11 4.32 38.91 1.51 2.11 39.73,leukemia 3.60 3.82 6.11 3.31 3.18 -3.93,nasopharynx 2.17 2.14 -1.38 1.70 1.78 4.72,cervix 1.49 1.08 -27.52 2.31 1.91 -17.32,baldder 1.83 2.26 23.50 0.89 1.11 19.82,中国局部地区1991-2000 癌症死亡率(1/100 000),China Oncology 2002;(11)5,Distribution of CRC,high incidence area in China,Red represents high incidence area,Data in 1970s,中国结直肠癌筛查工程,国家“十一五科技支撑方案(2006-2021),国家科学技术部,癌症早诊早治工程(2006-2021),国家卫生部癌症基金会,中国结直肠癌筛查流程图,Questionnaire survey,iFOBT,(+),(+),158926,106412,14034,8531,750(8.8%),763(8.9%),57(0.7%),35(0.4%),Age 40-74,invited to screen,Complete questionnaire and FOBT,Questionnaire(+)or FOBT(+),Complete colonoscopy,腺瘤,其它息肉,早期癌,进展期癌,初筛顺应性,67%,结肠镜顺应性,61%,阳性率,13.2%,1605,Colorectal Neoplasm,阳性率,18.8%,都市,:,上海，哈尔滨，杭州 乡村：海宁县，嘉善县,QS&FOBT奉献,腺瘤,Ques(+),465(61%)457(61%),19(21%)941(59%),FOBT(+)245(32%)225(30%),50(54%),520(32%),Both(+)53(7%)68(9%)23(25%)144(9%),all 763 750 92 1605,其它息肉,癌,all,61%,adenoma were discovered by Questionnaire but missed by FOBT,中国城市和乡村的筛查顺应性,Compliance for first screen,Compliance for colonoscopy,High risk individuals,Haining,89.8%,79.6%,16.5%,Jiashan,88.9%,78.0%,12.6%,Hz,Hb,Sh,45.6%,34.8%,13.3%,Screen compliance in counties is much better,than that in large cities,Rural,area,Urban,area,Data in 2021,0.00,0.10,0.20,0.30,0.40,0.50,0.60,0.70,0.80,0.90,1.00,0,1,2,3,4,5,6,7,screening,control,Accumulation mortality for colon cancer in Jiashan County,years,Zhengs,zhangsz,Dis colon rectum,2003,46,：,51-58,Accumulation mortality for rectal cancer in Jiashan County,31.7%,Years,Zhengs,zhangsz,Dis colon rectum,2003,46,：,51-58,Zhengs,Zhangsz,Dis colon rectum,2003,46,：,51-58,现行方案,40,74,岁个体,问卷：,(1),一级亲属大肠癌史,(2),本人有癌症史,(3),本人肠息肉史,(4),具有以下二项及二项以上者,:,慢性腹泻；粘液血便；慢性便秘；慢性阑,尾炎；精神刺激史；慢性胆道疾病史。,大便潜血,iFOBT,1,周间隔,全结肠镜,问卷或阳性推荐全结肠镜检查,y,CRC Screeing Program in China 2021,Red represents high incidence area,Hubei 2,Yunnan 1,Sichuan 1,Shanghai 1,Zhejiang 2,Guangdong 1,Beijing 1,Tianjin 1,Sanxi 1,Sandong 1,Ninxia 1,谢谢您,
展开阅读全文