社区适龄妇女两癌筛查结果分析及预防对策

Analysis of results of screening carcinomas in women of childbearing age in Beijing Community

目的了解辖区内两个社区适龄妇女的生殖健康状况、影响因素,旨在提高女性对乳腺癌及宫颈癌的足够重视和预防意识,提高妇女生活质量。方法采用常规妇科检查(妇科双合诊、阴道扩阴器检查、白带常规检查、宫颈刮片检查)、乳腺彩超检查相结合的方法。结果妇科筛查率为85%,患病率为15%;子宫肌瘤检出率占首位(其中大于10周龄的中老年子宫肌瘤18个),其次为妇科炎性疾病;AS-CUS及以上检出率1%。乳腺筛查率91%,患病检出率为31.51%;检出乳腺癌2人,乳腺增生414人(占筛查人数的13.47%),可疑病例22人,可疑病例检出率0.71%。结论妇女的生殖健康状况不容乐观,应积极利用社区卫生医护防团队坚持开展针对适龄妇女,尤其是重点人群,以防治乳腺癌、宫颈癌相关知识的健康教育为重点,两癌筛查及防治生殖道感染为手段的普防普查普治工作,以期降低乳腺癌及宫颈癌的发病率,提高适龄妇女的生殖健康水平。

Objective To understand the women＇s reproductive healthy condition and its influencing factor in the two communityies of Beijing.Methods Routinng gynecological examination（bilanual gynecological examination,vaginal dilator inspection,leucorrhea routine inspection,cervix scrabing,Papanicolaou test）,the mammary gland color ultra inspection were made.Results Gynecologicaly screening rate was 85%,the prevalence rate was 15%;The myoma of uterus detection rate occupied the first,followed by gynecological inflammatory disease and the positive rate of AS-CUS was 1%.Mammary gland screening rate was 91% with the positive rate of 31.51%.Two breast cancer patients and 414 patients with mammary gland hyperplasia were detected and 22 suspected patients（0.71%） were detected.Conclusions Effective meaures including health education,cervical and breast carcinoma screening and prevention and control women reproductive health should be carried out to protect the health of women in community.