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中华结直肠疾病电子杂志 ›› 2017, Vol. 06 ›› Issue (06) : 447 -453. doi: 10.3877/cma.j.issn.2095-3224.2017.06.002

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中美结直肠癌流行病学特征及防诊治策略的对比分析
王锡山1,()   
  1. 1. 100021 北京,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院结直肠外科
  • 收稿日期:2017-11-19 出版日期:2017-12-25
  • 通信作者: 王锡山
  • 基金资助:
    国家自然科学基金面上项目(No.81572930); 中国医学科学院肿瘤医院学科带头人奖励基金(No.RC2016003); 国家重点研发计划精准医学研究专项(No.2016YFC0905300); 中国医学科学院医学与健康科技创新工程项目(No.2016-I2M-1-001); 北京市科技计划(No.D171100002617004)

Comparison analysis of epidemiological characteristics and prevention-treatment strategy of colorectal cancer in China and the United States

Xishan Wang1,()   

  1. 1. Department of Colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2017-11-19 Published:2017-12-25
  • Corresponding author: Xishan Wang
  • About author:
    Corresponding author: Wang Xishan, Email:
引用本文:

王锡山. 中美结直肠癌流行病学特征及防诊治策略的对比分析[J]. 中华结直肠疾病电子杂志, 2017, 06(06): 447-453.

Xishan Wang. Comparison analysis of epidemiological characteristics and prevention-treatment strategy of colorectal cancer in China and the United States[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(06): 447-453.

结直肠癌作为一种常见的消化道恶性肿瘤,在全世界范围内严重威胁着人类的健康。2017年美国发布了最新的结直肠癌流行病学结果,其数据显示近20年美国的发病率和死亡率持续下降。而根据中国国家癌症中心公布的数据显示中国结直肠癌发病率和死亡率却在不断升高。因此本文通过对比中美两国结直肠癌流行病学特征,分析美国结直肠癌防治过程中采取相应措施,提出具体的策略:I级预防中采取改变生活方式和应用预防性药物;II级预防中重视早期筛查;III级预防中则应提高诊断准确性,制定规范化治疗策略下,结合多学科治疗,加强随访。在宏观方面,则应该从国家层面、社会层面以及个人层面等三个战略层面上深入我国结直肠整体管控和治疗方面认知,进一步探寻具有中国特色的结直肠癌防诊治的新方向。

Colorectal cancer, as a common gastrointestinal cancer, has been threating to human health worldwide. In 2017, the United States released the latest colorectal cancer epidemiology. The data show that the incidence and mortality of colorectal cancer in the United States have been declining in the recent 20 years. According to the data released by China National Cancer Center, the incidence and mortality of colorectal cancer in our country are on the rise. Therefore, this article will compare the epidemiological characteristics of colorectal cancer between China and the United States, analyze the corresponding measures taken in the prevention and treatment of colorectal cancer in the United States, and propose specific strategies: Class I prevention is to change lifestyle and to take preventive drugs; Class II prevention is associated with tumor screening; Class III prevention should improve diagnostic accuracy, formulate and standardize treatment strategy, combine with multidisciplinary treatment, and strengthen follow-up. At the same time, we should deepen our understanding of the overall colorectal control and treatment in three strategic levels: national level, social level and individual level so as to further explore the new direction of prevention and treatment of colorectal cancer with Chinese characteristics.

图4 2017年中国结直肠癌因病死亡病例年龄分布构成特征[2]
图7 2015年中国结直肠癌预计因病死亡病例年龄分布构成特征[4]
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