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[目的]探索一条科学的筛查工作方法及可持续发展食管癌防治新模式,降低内镜检查的风险,防止并发症的发生,提高普查顺应性和阳性率。[方法]按照磁县食管癌早诊早治普查工作流程和国家《食管癌早诊早治项目技术方案》,应用电子内镜检查加碘染色加多点指示性活检技术,对2005~2010年40~69岁人群共10914例食管癌普查。[结果]活检10291例,活检率94.29%,严重并发症发生率为0.12%。普查顺应性约为60%。并发症35例,其中出血13例,咽喉损伤10例,肠痉挛5例,下颌关节脱臼5例,碘过敏1例,唾液腺肿胀1例。[结论]建立一支技术过硬的食管癌早诊早治普查队伍,按照食管癌早诊早治普查工作流程,遵守国家《食管癌早诊早治项目技术方案》可有效地降低内镜检查的并发症,提高普查顺应性和阳性率。
[Objective] To explore a scientific screening method and a new mode of sustainable development of esophageal cancer prevention, reduce the risk of endoscopic examination, prevent the occurrence of complications and improve census compliance and positive rate. [Method] According to the cesarean section of early diagnosis and treatment of esophageal cancer in Cixian County and the national project of “early diagnosis and treatment of esophageal cancer”, we applied electronic endoscopy plus iodine staining plus multi-point instructional biopsy technique, A total of 10914 cases of esophageal cancer screening among 40 ~ 69 years old population. [Results] There were 10291 biopsies with a biopsy rate of 94.29% and a serious complication rate of 0.12%. Census compliance is about 60%. Complication in 35 cases, including 13 cases of bleeding, throat injury in 10 cases, intestinal spasm in 5 cases, 5 cases of mandibular dislocation, iodine allergy in 1 case, salivary gland swelling in 1 case. [Conclusion] The establishment of a skilled screening and early diagnosis and treatment of esophageal cancer screening team, in accordance with the early diagnosis and treatment of esophageal cancer early census workflow, abide by the national “early diagnosis and treatment of esophageal cancer project program” can effectively reduce the endoscopic Complications, improve census compliance and positive rate.