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[目的]总结探索在食管癌高发区实施食管癌/贲门癌早诊早治项目的效果和问题。[方法]分析2009～2010年林州、辉县、济源三市在40～69岁人群中,进行内镜食管贲门癌筛查资料,探讨适宜筛查人群和早诊早治效果。[结果]三市2009～2010年共筛查13071人,发现癌症病例369例,检出率2.82%,其中早期癌323例,早诊率87.53%。林州272例治疗患者治疗率为64.34%。[结论]在食管癌高发区高危人群中,开展内镜筛查实施早诊早治是可行的,将筛查人群定为40～74岁年龄组可能更有意义。
[Objective] To summarize the effects and problems of early diagnosis and treatment of esophageal / cardiac cancer in the high incidence area of esophageal cancer. [Methods] From 2009 to 2010, Linzhou, Huixian and Jiyuan cities were enrolled in this study. The data of endoscopic esophageal and cardial cancer screening among 40-69 years old population were analyzed. [Results] A total of 13071 people were screened from 2009 to 2010 in the three cities. A total of 369 cases of cancers were detected, with a detection rate of 2.82%. Among them, 323 cases were early cancers and the diagnosis rate was 87.53%. 272 cases of Linzhou treatment rate was 64.34%. [Conclusion] Among the high risk population of esophageal cancer, it is feasible to carry out endoscopic screening for early diagnosis and early treatment. It may be more meaningful to screen the population as 40-74 age group.