临沂市育龄妇女乳腺疾病分布情况调查研究

Investigation and study on distribution of breast diseases in women of childbearing age in Linyi city

目的:调查临沂市育龄妇女乳腺疾病分布情况。方法:采用常规体检、超声及钼靶等联合检查方法进行调查。结果:所查10 056例育龄妇女中,5 983例患有乳腺疾病,患病率为59.50%,其中乳腺增生5 601例,占55.70%;乳腺纤维腺瘤241例,占2.40%;乳腺炎100例,占0.99%;乳腺囊肿41例,占0.41%;乳腺癌5例,占50/10万。育龄妇女的乳腺疾病标化患病率和乳腺癌标化患病率分别为41.05%和27/10万。结论:乳腺疾病成为危害临沂市育龄妇女健康的主要疾病之一;查体、超声及钼靶等联合检查方法是目前乳腺疾病普查的先进方法,可以早期发现乳腺癌并节约卫生资源;乳腺疾病的分布与年龄、职业及受教育程度有一定关系,年龄与乳腺疾病的发病关系较密切;卫生机构应落实母婴保健法规,定期开展乳腺疾病普查普治工作。

Objective： To investigate the distribution of breast diseases in women of childbearing age in Linyi city. Methods： Routine physical examination, uhrasonograpby combined with molybdenum - target photography were used to conduct investigation. Results： Among 10 056 women of childbearing age, 5 983 women were diagnosed as breast diseases, the prevalence rate was 59. 50% , including 5 601 women with hyperplasia of mammary glands （55.70%）, 241 women with breast fibroadenoma （2.40%）, 100 women with mammitis （0. 99% ）, 41 women with lactocele （0.41%）, 5 women with breast cancer （50/100 000） . The standardized prevalence rates of breast diseases and breast cancer in women of childbearing age were 41.05% and 27/100 000, respectively. Conclusion： Breast diseases becomethe main diseases harming health of women of childbearing age in Linyi city; physical examination, ultrasonography combined withmolybdenum -target photography are advanced methods for screening breast diseases currently, which can find early breast cancer and save health resources ; the distribution of breast diseases is correlated with age, occupation, and educational level to a certain extent, age is close- ly correlated with onset of breast diseases; health care institutions should implement maternal and infantile health care laws and regulations, conduct general screening and treatment of breast diseases.