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感染性食管癌诊疗指南OA

Diagnosis and Treatment Guidelines for Infectious Esophageal Cancer

中文摘要英文摘要

我国是食管癌高发国家之一.2010 年以前,我国食管癌的发病和死亡总体呈上升趋势,此后呈显著下降态势.病因学领域研究的突破,尤其是口腔微生物,如牙龈卟啉单胞菌是食管癌关键致病因素的科学发现,为食管癌患者"防治康"策略的优化提供了理论依据.口腔卫生作为高危人群筛查关键指标,已被列入国家卫生健康委员会《食管癌筛查与早诊早治方案》中.为更好地指导在食管癌"防、筛、诊、治、康"过程中口腔卫生的全程化、规范化管理,中国抗癌协会感染性肿瘤专业委员会组织国内相关领域专家,经过多轮深入讨论和修改,系统性地梳理了国内外最新的研究证据,并充分考虑我国临床实践的具体情况,形成本指南.

China is among the global regions with a high burden of esophageal cancer.The incidence and mortality of esophageal cancer in China exhibited a rising trend prior to 2010,followed by a substantial and sustained decline in the subsequent period.Emerging breakthroughs in etiological studies,particularly the definitive identification of oral microorganisms(e.g.,Porphyromonas gingivalis)as critical pathogenic contributors to esophageal carcinogenesis,have established a solid theoretical foundation for the optimization of prevention,treatment and rehabilitation strategies for esophageal cancer patients.Oral hygiene,as a key indicator for high-risk population screening,has been incorporated into the Plan for Esophageal Cancer Screening and Early Diagnosis and Treatment issued by the National Health Commission.To standardize the whole-course oral hygiene management throughout the full workflow of esophageal cancer prevention,screening,diagnosis,treatment and rehabilitation,the Committee of Infectious Tumors of the China Anti-Cancer Association assembled a panel of domestic multidisciplinary experts.Following multiple rounds of in-depth deliberation and iterative revision,this guideline was formulated based on a systematic review of the latest domestic and international evidence,with full consideration of the current status and practical demands of clinical practice in China.

中国抗癌协会感染性肿瘤专业委员会;高社干

河南科技大学第一附属医院

医药卫生

食管癌病因学感染口腔卫生牙龈卟啉单胞菌

esophageal canceretiologyinfectionoral hygienePorphyromonas gingivalis

《食管疾病》 2026 (2)

81-101,21

10.15926/j.cnki.issn2096-7381.2026.02.001

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