一种新评分系统在癌症住院筛查中的应用

中华消化内镜杂志 Pub Date : 2019-07-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.07.006

Jie Pan, Liming Zhu, Jiejun Lin, Xiao-qing Jiang

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引用次数: 0

摘要

目的探讨一种新的癌症筛查评分系统在医院就诊中的临床应用价值。方法采用新的癌症筛查评分系统，对2017年4月至2018年8月因各种消化道症状就诊并符合筛查要求的患者资料进行回顾性分析。根据新评分系统的评分结果，所有患者被分为三组：低风险组（0-11分）、中风险组（12-16分）和高风险组（17-23分）。对三组胃癌癌症及胃癌前病变的检出情况进行对比分析。结果本研究共纳入2674例患者，低危组1694例（63.35%），中危组833例（31.15%），高危组147例（5.50%）。癌症总检出率为2.73%（73/2674）。三组的检出率分别为1.06%（18/1694）、4.32%（36/833）和12.93%（19/147）。三组中任意两组胃癌癌症检出率差异有显著性（均P＜0.05），中危组早期癌症检出率[2.04%（17/833）]和高危组早期癌症检出率[4.08%（6/147）]明显高于低危组[0.35%（6/1694），均P＜0.05]显著提高了癌症住院的检出率，同时也提高了早期癌症的诊断率。关键词：胃肿瘤；癌前病变；癌症筛查新评分系统；早期癌症

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Application of a new scoring system to gastric cancer screening in hospital visits

Objective To explore the clinical value of a new scoring system for gastric cancer screening in hospital visits. Methods A new scoring system for gastric cancer screening was used to retrospectively analyze data of patients who visited Wenzhou Central Hospital for various digestive symptoms from April 2017 to August 2018 and met the screening requirements. All patients were divided into three groups according to the grading results of the new scoring system: low-risk group (0-11 points), medium-risk group (12-16 points) and high-risk group (17-23 points). A comparative analysis was performed on the detection of gastric cancer and gastric precancerous conditions among the three groups. Results A total of 2 674 patients were included in this study, 1 694(63.35%) in the low-risk group, 833(31.15%) in the medium-risk group, and 147(5.50%) in the high-risk group. The total detection rate of gastric cancer was 2.73% (73/2 674). The detection rates were 1.06% (18/1 694), 4.32% (36/833) and 12.93%(19/147) in the three groups, respectively. There were significant differences in the detection rate of gastric cancer between any two of the three groups (all P<0.05). The detection rates of early gastric cancer in medium-risk group[2.04%(17/833)] and high-risk group[4.08%(6/147)] were significantly higher than that in the low-risk group[0.35%(6/1 694), all P<0.05]. Conclusion The new gastric cancer screening scoring system can not only significantly improve the detection rate of gastric cancer in hospital visits, but also improve the diagnostic rate of early gastric cancer. Key words: Stomach neoplasm; Precancerous conditions; New scoring system for gastric cancer screening; Early gastric cancer

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.