东莞市山区片35~64周岁妇女乳腺癌筛查结果分析

Analysis of Screening Results of Breast Cancer among Women Aged 35-64 in Mountainous Area of Dongguan City

目的观察分析东莞市山区片35~64周岁妇女乳腺癌筛查分析结果,为开展乳腺癌防治工作提供参考依据。方法选择2020年6—11月东莞市山区片自愿参加乳腺癌筛查的1600名已婚妇女为研究对象,统计筛查结果。结果1600名妇女中,乳腺囊肿检出率为11.00%,乳腺导管内乳头状瘤检出率为0.31%,其他乳腺良性疾病检出率7.69%,乳腺癌检出率占1.25%(20/1600)。单因素结果显示,年龄、乳腺癌家族史、吸烟、乳腺外伤史、工作劳动强度、乳腺良性肿块、乳腺增生是乳腺癌影响因素(P<0.05)。Logistic多因素分析结果显示,45~54岁、吸烟、有乳腺癌家族史、乳腺外伤史、乳腺良性肿块及乳腺增生是乳腺癌的危险因素(P<0.05)。结论东莞市山区片35~64周岁妇女乳腺癌患病率较高,积极开展乳腺癌筛查,发现乳腺癌高危因素,予以有效防控措施对降低乳腺癌发病率具有重要意义。

Objective To observe and analyze the results of breast cancer screening among women aged 35 to 64 in the mountainous area of Dongguan,and to provide reference for breast cancer prevention and treatment.Methods 1600 married women who volunteered to participate in breast cancer screening in mountainous areas of Dongguan City from June to November 2020 were selected as the study objects,and the screening results were statistically analyzed.Results Among 1600 women,the detection rate of breast cyst was 11%,intraductal papilloma was 0.31%,other benign breast diseases were 7.69%,and breast cancer was 1.25%(20/1600).Univariate results showed that age,family history of brease cancer,smoking,history of breast trauma,work intensity,benign breast mass and breast hyperplasia were the factors for breast cancer(P<0.05).Logistic multivariate analysis showed that 45-54 years old,smoking,family history of breast cancer,history of breast trauma,benign breast mass and breast hyperplasia were risk factors for breast cancer(P<0.05).Conclusion The incidence rate of breast cancer in women aged 35-64 in the mountainous area of Dongguan city was high.It was of great significance to actively carry out breast cancer screening,discover the risk factors of breast cancer and take effective prevention and control measures to reduce the incidence of breast cancer.