北京市宫颈癌和乳腺癌筛查现况与结果分析

Current status and screening results of cervical or breast cancer

目的了解北京市适龄妇女生殖健康状况。方法2008至2009年对25～65岁北京市户籍妇女进行妇科及宫颈细胞学检查，对40～60岁户籍妇女进行乳腺筛查，并记录个人基本信息及个人病史。结果本次宫颈癌筛查728704人，宫颈癌筛查平均年龄47．39岁。乳腺癌筛查568000人，乳腺癌筛查平均年龄49．71岁。本次筛查中，66％的妇女为初中及以下文化程度，67％的妇女为农民及无职业人群。宫颈癌筛查检出宫颈上皮内瘤变（CINI、Ⅱ、Ⅲ）及以上病变968例，检出率132．84／10万。宫颈癌及癌前病变（CINⅡ、Ⅲ）602例，检出率为82．61／10万（602／728704），其中宫颈癌89例，检出率为12．21／10万。乳腺癌筛查检出乳腺癌266人，乳腺癌检出率为46．83／10万。结论适龄妇女生殖健康状况不容忽视，应定期开展宫颈癌、乳腺筛查，早期发现并治疗癌前病变，提高妇女健康水平。

Objective To investigate reproductive health of women in Beijing. Methods Women of 25 to 65 years old who received gynecological and cervical cytology examinations and female adults of 40 to 60 years old who underwent breast cancer screening from January 2008 to 2009 were enrolled in this study. Personal information and medical records were collected. Results A total of 728 704 women （ mean age 47 yeas） received cervical cancer screening for free, and 568 000 （ mean age 50 years） performed breast cancer screening in no charge. Detection rate of breast cancer or cervical cancer was 46.83/100 thousands and 132.84/100 thousands, respectively. Six hundred and two women were diagnosed with CIN II/III or cervical cancer. Conclusion Regular cervical or breast cancer screening and early detection and control of precancerous lesions may be important to improve womens reproductive health.