2009～2011年凯里市农村妇女乳腺癌筛查结果分析

Analysis on the Results of Breast Cancer Screening Among Rural Women,Kaili City,2009-2011

[目的]了解凯里市农村妇女乳腺疾病发病情况,提高乳腺癌早诊早治率,降低死亡率,保护农村妇女健康。[方法]对凯里市接受筛查的农村妇女均进行乳腺的视诊、触诊,可疑者和高危人群进行乳腺彩超检查,彩超检查可疑或阳性者,进行钼靶X线检查,对钼靶X线检查结果阳性者和可疑者,作组织学检查,获得最后病理诊断。[结果]乳腺癌筛查6 031人,检出乳腺纤维瘤4例,发病率为0.007%;乳腺增生394例,发病率为6.53%;乳管内乳头状瘤1例,发病率16.58/10万;病理检查未发现乳腺癌。[结论]实施乳腺癌筛查项目,有利于早期发现和干预乳腺癌和其他乳腺疾病患者,促进农村妇女身体健康;但需加强乳腺癌防治知识的宣传,提高干预顺应性。

[Objective]To understand the situation of rural women about the incidence of breast diseases in Kaili city, increase the rate of early detection and treatment of breast cancer, reduce mortality, so as to protect the health of rural women. [Methods]To offer visual examination, palpation to the women who accepted breast screening, and give ultrasonography to high-risk populations and suspicious patients. After ultrasonography,give them molybdenum target X-ray examination to suspicious or positive patients. If the mammography X-ray examination results were positive and suspi- cious,give them histological examination. [Results]In a total of 6 031 cases of breast cancer screening,4 cases were breast fibrous tumor,the incidence rate was 0. 007%. 394 cases of breast hyperplasia,the incidence rate was 6.53%, 1 case was intraductal papillary tumor, the incidence rate was 16.58/10^5. Pathological examination of breast cancer was not found. [Conclusion]Implementation of the breast cancer screening program,to detect breast cancer and other breast diseases early,and make intervention to promote the health of rural women. But strengthen the propaganda of knowledge about breast cancer, improve compliance.