摘要
目的 了解2021年广东省户籍35~64周岁常住妇女的乳腺癌筛查现状及分布特征,为制定有效的乳腺癌防控策略提供科学依据。方法 收集2021年广东省妇女乳腺癌筛查情况年报表的数据,对2021年广东省珠三角地区、粤东地区、粤西地区(包括湛江、茂名和阳江3个地市)及粤北地区共21个地市接受乳腺癌筛查的2 231 092名35~64周岁妇女筛查情况进行回顾性分析。结果 2021年广东省妇女乳腺癌筛查率为37.78%;乳腺癌筛查彩色超声检查结果显示乳腺影像报告和数据系统(BI-RADS)4类和5类的比例为1.78%,乳腺X线检查BI-RADS 4类和5类为6.61%,组织病理学检查乳腺癌检出比例为18.17%。乳腺X线随访检查率为28.95%,组织病理学随访检查率为22.05%。全省乳腺癌检出率为171.71/10万,珠三角、粤东、粤西和粤北地区乳腺癌检出率分别为182.71/10万、148.37/10万、232.26/10万和114.62/10万,不同地区乳腺癌检出率差异有统计学意义(χ^(2)=156.284,P<0.05)。乳腺癌早期诊断率为40.41%,早期治疗率为97.81%。相较于粤东西北地区,珠三角地区筛查率最高,达到43.39%,差异有统计学意义(χ^(2)=135 773.321,P<0.001)。城市地区乳腺癌筛查率、超声BI-RADS分类0类和3类的比例、BI-RADS 4类和5类比例、乳腺X线BI-RADS分类0类和3类比例、组织病理学检出比例,以及乳腺癌检出率和早期诊断率均高于农村,差异均存在统计学意义(χ^(2)=39.812~19 067.036,P<0.01)。结论 广东省乳腺癌筛查总体成效显著,但筛查率较低,尤其是粤东和粤西地区。下一步应重点提高乳腺癌筛查率,完善乳腺癌筛查随访制度和管理措施,提高流动人口妇女卫生服务可及性水平。
Objective To understand the current status and distribution characteristics of breast cancer screening among women aged 35-64 years with household registration in Guangdong province in 2021,so as to provide evidence for formulating effective breast cancer prevention and control strategies.Methods A retrospective analysis was performed on 2231092 women aged 35-64 years who received breast cancer screening in 144 counties in Guangdong Province in 2021.Results The breast cancer screening rate of women in Guangdong Province was 37.78%in 2021.Ultrasonography showed that the proportion of category 4 and 5 was 1.78%,mammography showed that the proportion of category 4 and 5 was 6.61%,and histopathological examination showed that the proportion of breast cancer was 18.17%.The follow-up rate of mammography and histopathology was 28.95%and 22.05%,respectively.The detection rate of breast cancer was 171.71/100000,the early diagnosis rate was 40.41%,and the early treatment rate was 97.81%.Compared with the eastern,western and northern Guangdong regions,the Pearl River Delta region had the highest screening rate(43.39%).The breast cancer screening rate,the proportion of BI-RADS 0 and 3 results of ultrasound examination,the proportion of BI-RADS 4 and 5 results of ultrasound examination,the proportion of BI-RADS 0 and 3 results of mammography examination,the proportion of breast cancer detected by histopathology,the detection rate and the early diagnosis rate of breast cancer in urban areas were higher than those in rural areas(The value ofc2 was 39.812~19067.036,P<0.01).Conclusion The effect of breast cancer screening in Guangdong Province is significant,but the screening rate is low,especially in east and west Guangdong.The next step should focus on improving the breast cancer screening rate,improving the follow-up system and management measures of breast cancer screening,and improving the accessibility of health services for floating women,so as to ensure the quality and efficiency of screening.
作者
武丽
陈国珍
马远珠
李甜甜
夏建红
刘国成
Wu Li;Chen Guozhen;Ma Yuanzhu;Li Tiantian;Xia Jianhong;Liu Guocheng(Guangdong Women and Children Hospital,Guangzhou 511442,China;Jinan University,Guangzhou 510632,China)
出处
《中国妇幼健康研究》
2023年第7期51-58,共8页
Chinese Journal of Woman and Child Health Research
基金
广东省医学科研基金项目(C2022036)。
