中国胃癌超声筛查临床应用专家共识(2025年版)。

Q4 Medicine
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引用次数: 0

摘要

中国胃癌5年生存率接近欧美国家,但远低于已建立国家胃癌筛查制度的韩国和日本。构建适合中国国情的高质量胃癌筛查体系具有重要意义。由于胃癌高危人群众多,医疗资源分布不均,中国在全国范围内开展胃癌胃镜筛查计划仍有一定难度。胃超声具有无痛、无辐射、易于接受和推广等优点,可作为胃癌早期筛查的替代方法之一。该共识基于2020年发表的两项与胃超声相关的共识,通过分析胃癌筛查策略和全国范围内胃癌筛查面临的困难,阐述了在中国开展胃癌超声初步筛查的必要性、可行性和存在的问题。此外,本共识还介绍了胃超声检查的适应症和禁忌症、对操作人员和造影剂的要求、超声标准切片、扫描操作要点、胃超声报告和数据系统(Su-RADS),并提出了相应的共识意见。经过多个学会专家的多轮讨论和投票,最终形成了17项关于胃超声作为胃癌初步筛查技术的共识意见,旨在规范胃超声的普及。此外,共识呼吁开展全国范围内的多中心前瞻性研究,提高证据水平,为构建符合中国国情的胃癌超声筛查初步体系提供数据支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chinese Expert Consensus on the Clinical Application of Ultrasound Screening for Gastric Cancer(2025 Edition).

The five-year survival rate of gastric cancer in China is close to that in European and American countries but far lower than that in the Republic of Korea and Japan,which have established national gastric cancer screening systems.It is of great significance to build a high-quality gastric cancer screening system adaptive to China's national conditions.Due to the large number of people at risk of gastric cancer and uneven distribution of medical resources,it is still difficult for China to carry out a nationwide gastroscopy screening plan for gastric cancer.Gastric ultrasound,with painlessness,no radiation,and easy acceptance and popularization,could be used as one of the alternative methods for initial screening of gastric cancer.Based on two gastric ultrasound-related consensuses published in 2020,this consensus elaborates on the necessity,feasibility,and existing problems of conducting preliminary gastric cancer ultrasound screening in China by analyzing the gastric cancer screening strategies and the difficulties faced by nationwide gastric cancer screening.Furthermore,this consensus introduces the indications and contraindications of gastric ultrasound examination,requirements for the operator and the contrast agent,ultrasound standard section,essentials of scanning operations,and stomach ultrasound report and data system (Su-RADS) and proposes the relevant consensus opinions accordingly.After multiple rounds of discussions and voting by experts from multiple societies,a total of 17 consensus opinions have been formed on gastric ultrasound as a preliminary screening technique for gastric cancer,with the aim of standardizing the popularization of gastric ultrasound.In addition,the consensus calls for conducting nationwide multicenter prospective studies to improve the level of evidence and provide data support for the construction of a preliminary gastric cancer ultrasound screening system that is in line with China's national conditions.

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来源期刊
中国医学科学院学报
中国医学科学院学报 Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
6813
期刊介绍: Acta Academiae Medicinae Sinicae was founded in February 1979. It is a comprehensive medical academic journal published in China and abroad, supervised by the Ministry of Health of the People's Republic of China and sponsored by the Chinese Academy of Medical Sciences and Peking Union Medical College. The journal mainly reports the latest research results, work progress and dynamics in the fields of basic medicine, clinical medicine, pharmacy, preventive medicine, biomedicine, medical teaching and research, aiming to promote the exchange of medical information and improve the academic level of medicine. At present, the journal has been included in 10 famous foreign retrieval systems and their databases [Medline (PubMed online version), Elsevier, EMBASE, CA, WPRIM, ExtraMED, IC, JST, UPD and EBSCO-ASP]; and has been included in important domestic retrieval systems and databases [China Science Citation Database (Documentation and Information Center of the Chinese Academy of Sciences), China Core Journals Overview (Peking University Library), China Science and Technology Paper Statistical Source Database (China Science and Technology Core Journals) (China Institute of Scientific and Technological Information), China Science and Technology Journal Paper and Citation Database (China Institute of Scientific and Technological Information)].
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