原阳县农村适龄妇女宫颈癌和乳腺癌筛查结果分析与预防对策

Analysis of cervical cancer and breast cancer screening results and preventive measures for age-appropriate rural women in Yuanyang County

目的为分析原阳县适龄妇女宫颈癌和乳腺癌筛查结果,提高女性对生殖健康的关注度和预防意识,为生命安全提供保障。方法纳入2021年1月一2022年12月原阳县年龄在35岁~64岁的适龄妇女20036例,均接受宫颈和乳腺筛查,统计癌症检出率和疾病检出率。结果两癌筛查癌症检出率为0.075%,其中包括10例乳腺癌,5例宫颈癌;两性疾病检出率为16.85%,常见妇科疾病筛查出阴道炎1332例,宫颈疾病877例,卵巢囊肿536例,外阴炎391例,其他疾病241例;宫颈细胞学检查结果异常例数29例,异常率为0.14%,有21例非典型鳞状细胞,6例低度鳞状上皮内病变,2例高度鳞状上皮内病变;获得两癌知识的途径调查中,通过宣传手册获取的有10968例,4615例通过电视手机获取,4031例通过村干部和妇女主任获取,422例通过身边朋友、邻居获取。结论两癌筛查中发现有宫颈癌与乳腺癌患者,也筛查出良性妇科疾病,调查发现农村适龄妇女获取生殖健康知识的路径十分有限,因此应当在之后加大宣传力度,全面提升医务人员技术培训力度,为适龄妇女生殖健康水平提升提供支持。

Objective This paper aims to analyze the screening results of cervical cancer and breast cancer among appropriate-age women in Yuanyang County,improve women's awareness of reproductive health and prevention,and provide protection for life safety.Methods From January 2021 to December 2022,20036 appropriate-age women aged 35 to 64 in Yuanyang County were enrolled,all of whom underwent cervical and breast screening,and the detection rates of cancer and other diseases were counted.Results The detection rate of cervical cancer and breast cancer was 0.075%,including 10 cases of breast cancer and 5 cases of cervical cancer.The detection rate of venereal diseases was 16.85%;1332 cases of vaginitis,877 cases of cervical diseases,536 cases of ovarian cysts,391 cases of vulvitis and 241 cases of other diseases were screened out from common gynecological diseases.The cervical cytologic examination showed 29 abnormal cases,with an abnormal rate of 0.14%.21 cases were atypical squamous cells,6 cases were low-grade squamous intraepithelial lesions,and 2 cases were high-grade squamous intraepithelial lesions.In the survey of the ways to acquire knowledge about cancer and cancer,10968 people learnt it through brochures,4615 people through TV and mobile phones,4031 people through village cadres and women directors,and 422 people through friends and neighbors.Conclusion Cervical cancer and breast cancer patients were found in the screening of the two cancers,and benign gynecological diseases were also screened.The investigation found that rural women of the appropriate age had very limited access to reproductive health knowledge.Therefore,publicity efforts should be strengthened in the future,and technical training of medical practitioners should be comprehensively improved to provide support for the improvement of reproductive health level of women of the appropriate age.