摘要
目的:探讨北京通州区张家湾地区35~64岁适龄妇女乳腺癌筛查情况与预防策略。方法:选取2015年5月-2020年10月北京通州区张家湾地区农村户籍妇女参加乳腺癌筛查者作为研究对象,共计6 256名(14 962人次),其中初次调查者1 296名,曾接受筛查(筛查次数≥2次)者4 960名,采用乳腺癌筛查技术对农村妇女乳腺癌发生情况进行统计,比较不同筛查次数、不同年龄段乳腺癌发病情况。结果:共检测出乳腺癌18名,检出率为288/10万,其中初次筛查检出6名,检出率为463/10万;曾接受筛查(筛查次数≥2次)检出12名,平均筛查次数为(2.46±0.22)次,检出率为242/10万,初次筛查者检出率高于曾接受筛查者,差异有统计学意义(P<0.05);原位癌初次筛查检出1名,检出率为77/10万;曾接受筛查者8名,检出率为161/10万,曾接受筛查者原位癌率高于初次筛查者,差异有统计学意义(P<0.05)。未绝经者乳腺癌检出率高于以绝经者,差异有统计学意义(P<0.05)。结论:农村妇女乳腺癌发病率较高,呈年轻化发展趋势,乳腺癌筛查技术应用于农村妇女乳腺癌筛查中可使乳腺相关疾病与恶性肿瘤尽早被检查出,多次筛查可提高原位癌检出率,采取有效措施进行防治,加强乳腺癌防治知识的健康宣传教育,有助于患者早发现、早治疗,避免错过最佳治疗时机。
Objective: To investigate the screening status and prevention strategies of breast cancer among women aged 35-64years in Zhangjiawan area of Tongzhou District of Beijing. Methods: From May 2015 to October 2020, a total of 6256 women(14,962 person-times) with rural household registration in Zhangjiawan area of Tongzhou District of Beijing, who participated in breast cancer screening were selected as the study subjects, including 1296 women who received primary screening and 4960women who had received screening(screening number ≥ twice). Breast cancer screening technology was used to make statistics on the incidence of breast cancer in rural women, and the incidence of breast cancer in different screening times and different age groups was compared. Results: A total of 18 cases of breast cancer were detected, and the detection rate was 288/100 000. Among them, 6 cases were detected in primary screening, and the detection rate was 463/100 000. Twelve patients who had been screened(screening number ≥ twice) were detected, the average screening number was(2.46±0.22) times, and the detection rate was 242/100 000. The detection rate of those who received primary screening was higher than that of those who had been screened, and the difference was statistically significant(P<0.05). One patient was detected in the primary screening for carcinoma in situ, with a detection rate of 77/100 000. The detection rate of carcinoma in situ was 161/100 000 in 8 patients who had been screened, and the rate of carcinoma in situ in those who had been screened was higher than that in those who received primary screening, and the difference was statistically significant(P<0.05). Compared with postmenopausal women, the detection rate of breast cancer in premenopausal women was significantly higher, and the difference was statistically significant(P<0.05).Conclusion: Rural women have a higher incidence of breast cancer and a development trend of younger age, breast cancer screening technique applied to breast cancer screening of rural
作者
林元媛
Lin Yuan-yuan(Zhangjiawan Town Health Center of Tongzhou District,Beijing 101113,China)
出处
《中国社区医师》
2022年第16期150-152,共3页
Chinese Community Doctors
关键词
乳腺癌筛查
农村妇女
乳腺癌
防治
Breast cancer screening
Rural women
Breast cancer
Prevention and treatment
