安陆市2064例“两癌”筛查检测情况分析

Analysis of 2064 cases of "two-cancer" screening in Anlu city

目的探讨城乡适龄妇女“两癌”免费检查民生项目的意义。方法对安陆市2018年城乡适龄妇女“两癌”免费筛查的结果进行回顾性分析。筛查严格按照湖北省妇联和湖北省卫生计生委印发的《湖北省贫困妇女“两癌”免费检查实施方案》检查内容和检查流程进行。结果宫颈癌和乳腺癌的筛查人群大部分分布在30~59岁之间,分别占比91.82%和94.17%,随着年龄的增长,“两癌”筛查中筛出宫颈癌阴道细胞TBS命名系统分级为没有明确诊断意义的不典型鳞状上皮细胞(ASC-US)、高度鳞状上皮内病变(HSIL)和低度鳞状上皮内病变(LSIL)以及乳腺癌乳腺影像分级评估报告系统(BI-RADS)分级为3级的百分比逐步增加,并在40~49岁的人群中达到最大值。通过“两癌”筛查及后期对高危者的随访,可以有效发现宫颈癌HPV高危型感染者、原位癌及早期乳腺癌等。结论针对适龄妇女“两癌”发病情况,开展恰当的筛查尤为重要。“两癌”筛查可以有效筛查出宫颈癌和乳腺癌的早期病变及原位癌,对“两癌”的预防能够起到重要的作用,值得推广。

Objective To investigate the significance of the screening results of the 2018"two cancers"free examination project for urban and rural poor women in Anlu.Methods The examination contents and procedures were carried out in strict accordance with the implementation plan of free examination for"two cancers"of poor women in Hubei Province by Hubei Women's Federation and Hubei Health and Family Planning Commission.Results The cervical cancer and breast cancer screened people were mostly dispersed between the ages of 30 to 59,91.82%and 94.17%respectively.As the growth of the age,percentage of cervical cancer TBS classification for ASC-US,HSIL and LSIL and breast cancer classification BI-RADS for level 3 increased,and in the crowd of 40 to 49 reached a maximum.Through the screening of"two cancers"and the follow-up of high-risk patients in the later stage,cancers in situ and early breast cancer of high-risk patients with cervical cancer and HPV could be found effectively.Conclusions It is particularly important to carry out appropriate screening for the incidence of"two cancers"in women of the right age."Two cancers"screening can effectively screen out the early lesions and carcinoma in situ of cervical cancer and breast cancer,and plays an important role in the prevention of two cancers,which is worth promoting.