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[目的]探索肥城市食管癌筛查及早诊早治模式。[方法]分析肥城市2006～2008年中央财政转移支付食管癌早诊早治项目的相关资料,探索肥城市可持续发展食管癌防治新模式。[结果]2006～2008年项目覆盖人口总数为17775人,其中研究组13627人,40～69岁目标人口数为5530人,完成筛查4252人,顺应性为76.89%,任务完成率为106.3%;3年中检出轻度不典型增生469例,中度不典型增生114例,重度不典型增生及原位癌43例,黏膜内浸润癌29例,浸润癌10例。3年食管癌早诊率达87.90%,治疗率达93.90%。[结论]肥城市形成了独特的可持续发展食管癌筛查模式,可有效提高筛查顺应性、早诊早治率,降低食管癌发病率和死亡率。
[Objective] To explore the esophageal cancer screening in Feicheng City and early diagnosis and early treatment mode. [Methods] To analyze the relevant data of the central finance transfer payment for early diagnosis and treatment of esophageal cancer from 2006 to 2008 in Feicheng City, and to explore a new model of prevention and treatment of esophageal cancer in Feicheng City. [Results] The total number of population covered by the project from 2006 to 2008 was 17,775, of which 13,627 in the study group and 5,530 in the population aged 40 to 69. 4252 people were screened out, the compliance rate was 76.89% and the task completion rate was 106.3% 469 cases of mild dysplasia, 114 cases of moderate dysplasia, 43 cases of severe atypical hyperplasia and carcinoma in situ, 29 cases of invasive carcinoma in mucosa and 10 cases of invasive carcinoma in 3 years. Three years of early diagnosis of esophageal cancer rate of 87.90%, the treatment rate of 93.90%. [Conclusion] Feicheng has formed a unique screening model of sustainable esophageal cancer screening, which can effectively improve screening compliance, early diagnosis and early treatment rate, and reduce the incidence and mortality of esophageal cancer.