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山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (4): 90-94.doi: 10.6040/j.issn.1671-7554.0.2019.1170

• 临床医学 • 上一篇    下一篇

网络问卷结直肠早癌筛查效果的初步评估

王天霄1,李静2,李海林1   

  1. 1. 山东大学齐鲁医院肝胆外科, 山东 济南 250012;2. 山东省医学科学院附属医院, 山东第一医科大学 山东 济南 250031
  • 发布日期:2022-09-27
  • 通讯作者: 李静. E-mail:415085646@qq.com; 李海林. E-mail:lehaln01@163.com
  • 基金资助:
    山东省医学科学院医药卫生科技创新工程(2016)

Evaluation of an e-questionnaire in the early screening of colorectal cancer

WANG Tianxiao1, LI Jing2, LI Hailin1   

  1. 1. Department of Hepatobiliary Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Affiliated Hospital of Shandong Academy of Medical Sciences, Shandong First Medical University, Jinan 250031, Shandong, China
  • Published:2022-09-27

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摘要： 目的 设计并建设结直肠肿瘤早诊早治的社交应用平台及筛查电子问卷,结合肠镜检查方式进行结直肠肿瘤早诊早治临床实践,初步探究该筛查方案可行性。 方法 利用电子问卷初筛并通过直肠癌早诊早治微信平台给予高风险受试者进一步肠镜检查的建议。对网络电子问卷筛查方案的失访率、阳性检出率及肠镜依从性进行评估。 结果 平台共收集有效问卷1577份,受试者进行肠镜检查82例,阳性检出29例。参加肠镜人数、阳性检出人数与早癌相关病变检出人数占总参与人数的5.20%、1.84%及0.44%。电子问卷初筛为高风险受试者的肠镜依从性及阳性病变检出率均高于其他组。 结论 应用社交平台辅助可以提高结直肠高风险人群肠镜依从率,达到筛查结直肠早期肿瘤的效果,电子问卷筛查是进行结直肠肿瘤早诊早治行之有效的手段。

关键词: 结直肠癌, 伺机性筛查, 肠镜检查, 社交网络软件, 依从性

Abstract: Objective To design and establish a social network platform and e-questionnaire for the early screening of colorectal cancer, and to explore the feasibility of the screening scheme. Methods An e-questionnaire survey about colorectal cancer was conducted via Wechat platform, and subjects with high risk were recommended to take enteroscopy. The missing rate of e-questionnaire survey, positive detection rate and enteroscopy compliance were analyzed. Results A total of 1 577 e-questionnaires were collected, 82 subjects received enteroscopy, and 29 of them were tested positive. The number of subjects taking enteroscopy, positive detection rate and detection rate of early colorectal cancer related lesions was 5.20%, 1.84% and 0.44%, respectively. The high-risk subjects screened with e-questionnaire had higher enteroscopy compliance and positive detection rate than other groups. Conclusion The compliance of enteroscopy in people with high colorectal cancer risk can be improved by assistance of social network platform. E-questionnaire can be a feasible way for the early screening of colorectal cancer.

Key words: Colorectal cancer, Opportunistic Screening, Enteroscopy, Social network platform, Compliance

中图分类号: 

  • R574
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