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[目的]对乌鲁木齐市城市社区40~69岁人群开展肺癌筛查,评价筛查效果。[方法]对问卷评估的11 512名肺癌高危人群低剂量螺旋CT检查。[结果]共完成肺癌CT筛查3436人,依从性为20.4%。共发现1294人有肺内结节(37.6%),367人有阳性结节(10.7%),可疑肺癌16例(0.46%)。男性阳性结节的检出率高于女性。60~69岁年龄组在阳性结节、小结节、可疑肺癌的检出率都高于其他年龄组。[结论]低剂量螺旋CT适合肺癌的高危人群筛查,有助于早期发现肺内的阳性结节和相关疾病,60岁以上人群肺癌的筛查应该引起高度重视。
[Objective] To carry out screening of lung cancer in 40 ~ 69-year-old population in urban communities of Urumqi to evaluate the screening effect. [Methods] A low - dose spiral CT examination of 11 512 lung cancer high risk population evaluated by questionnaire. [Results] A total of 3436 CT scans of lung cancer were completed, with a compliance of 20.4%. A total of 1294 people were found pulmonary nodules (37.6%), 367 positive nodules (10.7%), 16 cases of suspected lung cancer (0.46%). The positive rate of male nodules was higher than that of women. The detection rate of positive nodules, small nodules and suspicious lung cancer in 60 ~ 69 age group were higher than those in other age groups. [Conclusion] Low-dose spiral CT is suitable for the screening of high-risk population of lung cancer, which is helpful to detect positive pulmonary nodules and related diseases in the early stage. Screening of lung cancer in people above 60 years old should pay more attention.