摘要
目的了解南宁市农村妇女乳腺癌筛查情况及发病影响因素。方法首先进行乳腺视诊、触诊和彩超检查,发现可疑者行X线检查,彩超或X线4~5级者行病理学确诊。收集病例组和对照组基本特征资料,并进行回顾性分析。结果2017⁃2020年乳腺癌筛查共完成155224例,乳腺彩超和X线的实查比例呈逐年上升趋势(均P<0.001)。共发现211例乳腺癌患者,检出率135.93/10万,呈逐年下降趋势(P<0.001)。组织病理类型以浸润性导管癌为主,占70.14%。TNM分期以ⅡA期为主,占36.42%。民族、年龄、文化程度、既往接受乳腺癌检查在两组之间的差异有统计学意义(均P<0.05)。壮族、45~49岁、50~54岁、55~59岁、60~64岁和小学及以下文化程度是乳腺癌的危险因素(均P<0.05),其中55~59岁组发生风险最高。既往接受乳腺癌检查是乳腺癌的保护因素(P<0.05)。结论农村妇女乳腺癌筛查能及时发现和预防乳腺癌,应加强高龄或壮族妇女健康教育,提高其筛查积极性。
Objective To analyze the screening and influencing factors forfemale breast cancer in rural area of Nanning. Methods Breast inspection,palpation,and color Doppler ultrasound examinations were performed. Those who were suspicious were examined by mammography. Subjects with BI-RADS grade 4~5 were further diagnosed by histopathological examination. Basic characteristics of cases and controls were collected and analyzed. Results A total of 155,224 rural women were screened for breast cancer from 2017 to 2020,and the proportion of breast ultrasonography and mammography increased year by year(all P < 0.001). A total of 211 cases were confirmed with breast cancer,with a detection rate of 135.93/105 and a decreasing trend(P < 0.001). Invasive ductal carcinoma was the main histopathological type,accounting for 70.14 %. Stage IIA was the most common type of TNM staging,accounting for 36.42%. Significant differences in the proportion of ethnicity,age,educational level and previous inspection between cases and controls were found(all P < 0.05). Zhuangnationality,ages 40 ~44,45 ~ 49,50 ~ 54,55 ~ 59,60 ~ 64,and lowereducation level were the risk factors for breast cancer,respectively(all P < 0.05),and the highest risk of breast cancer was found in the 55~59 age group. Receiving breast cancer examinations previously was a protective factor for breast cancer. Conclusion Breast cancer screening in rural women could detect and prevent breast cancer in time. Health education for elderly or Zhuang women should be strengthened to increase their enthusiasm for screening.
作者
杨兴
李梅春
董艳华
黄芬
李江恒
YANG Xing;LI Meichun;DONG Yanhua;HUANG Fen;LI Jiangheng(Maternal and Child Health Hospital of Nanning,Nanning 530022,China)
出处
《实用医学杂志》
CAS
北大核心
2022年第5期556-559,共4页
The Journal of Practical Medicine
基金
广西壮族自治区卫生健康委员会自筹经费科研课题计划课题(编号:Z20190104)。
关键词
农村妇女
乳腺癌
筛查
影响因素
rural women
breast cancer
screening
influencing factors
