Objective To evaluate the feasibility of colorectal cancer screening being combined with the annual physical examination in a military unit. Methods A total of 1208 people aged 40 and above received fecal occult blood test and questionnaires. Those tested positive and at risk underwent colonoscopy. Results 1045 of these people received both FOBT and the risk factor survey,the response rate being 86.5%. 25 people got positive results in FOBT, 21 underwent colonoscopy, 118 people got positive results in the risk factor survey and 83 people underwent colonoscopy.There was no statistical difference between the two groups in the response rate of colonoscopy,positive rate of colonoscopy, detection rate of cancer,or detection rate of ademoma with atypical hyperplasia. The detection rate of villous adenoma and multiple tubular adenoma was higher in FOBT positive group than in survey group（P＜0.05）while the detection rate of solitary adenoma was higher in survey group than in FOBT positive group（P＜0.05）. Conclusion The response rate is higher in the protocol of colorectal cancer screening accompanied by annual physical examinations. The risk factor survey is an efficient method in colorectal cancer screening.
Key words
colorectal cancer /
screening /
epidemiology
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References
［1］ He resbach D,Manfredi S,Halluin P N，et al． Review in depth and meta-analysis of controlled trials on colorectal cancer screening by faecal occult blood test［J］.European Journal of Gastroenterology＆Hepatology,2006,18（4）:427-433.
［2］ Levin B, Lieberman D A, McFarland B,et al. Screening and surveilance for the early detection of clorectal cancer and adenomatous polyps, 2008:a joint guideline from the American Cancer Society,the US Multi-Society Task Force on Colorectal Cancer,and the Amercican College of Radiology［J］.CA Cancer J Clin,2008,58（3）:130-160.
［3］ 中国国家卫生部．大肠癌早诊早治项目技术方案.2007.
［4］ 蔡善荣,郑 树,周 伦,等.杭州城市社区自然人群大肠癌筛查实践［J］.实用肿瘤杂志,2006,21（2）:177-179.
［5］ 王藏东，曲利国，楚丽征,等.北京市城市社区大肠癌筛查效果及问题分析［J］.中国全科医学杂志,2007,19(10):1586-1588.
［6］ 陈继贵，张宇星，王 倩,等.湖北地区目标人群中大肠癌筛检结果分析［J］. 中华普通外科杂志,2007,22(11):810-812.
［7］ 王 蕾，何 妍，李希芳,等.大肠癌E2F-1、CyclinD1的表达及其意义［J］.武警医学，2011，22（11）：935-937.
［8］ Ashwin A N，Schellhase K G，Sparapani R A，et al.Disparities in colon cancer screening in the medicare population［J］.Archives of Intemal Medicine, 2007,167（3）:258-264.
［9］ 王亚东，曲利园，关丽征,等. 北京市城市社区大肠癌筛查效果及问题分析［J］.中国全科医学杂志,2007,19(10):1586-1588.
［10］ 王亚东，曲利园，吴 优,等. 不同类型社区大肠癌筛查模式的探讨［J］.中国全科医学杂志,2007,19(10):1588-1590.
［11］ 李世荣.工业化国家大肠癌筛查经验给我们的启示［J］.中华医学杂志，2007，28（7）：1945-1946.
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