| 董建梅,孙全富,杨广泽,秦绪成,李伟伟,傅颖华,范瑶华,苏旭,陈晓东.田湾核电站周围居民恶性肿瘤登记系统的建立与运行效果评价[J].中华放射医学与防护杂志,2010,30(2):204-208 |
| 田湾核电站周围居民恶性肿瘤登记系统的建立与运行效果评价 |
| Establishment and operation of cancer registration system in vicinity area of Tianwan Nuclear Power Plant |
| 投稿时间：2009-11-12 |
| DOI： |
| 中文关键词: 核电站 恶性肿瘤登记 系统运行 |
| 英文关键词:Nuclear power plant Cancer registry System operation |
| 基金项目:卫生行业科研专项项目,核与辐射事故医学应急关键技术及公众防护对策研究(200802018);2009年度江苏省科技支撑计划(社会发展)项目(2009684) |
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| 中文摘要: |
| 目的 报告田湾核电站周围地区居民恶性肿瘤登记系统的建立、运行模式及效果。方法 从2003年9月开始,连云港市逐步建立了覆盖田湾核电站周围50 km范围内3区3县412万居民的恶性肿瘤登记系统,登记系统主要由医疗机构主动报告辅以县区疾控机构主动搜索和覆盖全部乡村的基层报告网络组成。分析了2004至2008年该系统报告的肿瘤发病率,并对2008年该系统运行状况(报告途径、病例就诊医疗机构分布、病例就诊方式、确诊医院的级别及资料质量等)进行分析,以评价运行效果。结果 登记系统由2家三级甲等医院、16家二级医院、6家县区级疾控中心和1121个村级报告网络组成。2004至2008年系统报告发病率有升高趋势,漏报率不断下降。2008年全市居民恶性肿瘤信息主要来源于医疗机构(78.94%)和基层网络报告(18.98%),以本市医疗机构诊断为主(95.10%),住院诊断是主要就诊方式(81.31%),确诊医院的级别主要为县及县以上医疗机构(99.42%)。病理诊断率为64.30%,且农村和城市诊断依据有所不同。结论 该系统采用了符合当地实际情况、因地置宜的报告模式,目前已能规范化运行。 |
| 英文摘要: |
| Objective To acquaint the cancer registration system information in the vicinity of Tian wan Nuclear Power Plant, including system establishment, reporting system, and its operation performance.Methods Since Sep 2003, the cancer registration system has been established in Lianyungang city. It covered 3 urban districts and 3 counties, including 4.12 million people within 50 km of radius from Tianwan Nuclear Power Plant. The system was constituted principally by hospital active reporting, assisted with county’s centers for disease control and prevention(CDC) active information collection and village doctor basal networks reporting. The cancer incidence data between 2004 and 2008 were analyzed, especially the data in 2008, such as data reporting channels, diagnostic hospital level and its location, the cancer diagnostic pattern, as well as data quality evaluation.Results The registration system consisted of 2 upper first-class hospitals, 16 upper second-class hospitals, 6 county-level CDCs and 1121 village basal reporting networks. During the period of 2004-2008, the cancer incidence was increased,while the percentage of unreported cases was decreased. In 2008, most of the cancer cases was reported by hospital (78.94%) and the basal networks (18.98%). 81.3% of the cancer cases were diagnosed in local hospitals. About 99.42% of the reported cases were confirmed with diagnosis by county, and higher level hospitals. Pathological evidences were available for 64.30% of the cancer cases,while urban area differed from the rural area.Conclusions The cancer registration system was successfully established in vicinity area of Tianwan Nuclear Power Plant,and its operation is improved with years. |
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