天津市某区乳腺癌与宫颈癌两癌筛查现状及影响因素分析

Status and influencing factors of breast and cervical cancer screening in a district of Tianjin

目的分析天津市某区女性乳腺癌和宫颈癌筛查现状及影响因素.方法选取天津市某区2021年1月-2024年1月的35-64周岁女性为研究对象.结果接受宫颈癌筛查的8490例都进行了宫颈癌检查,679例检出病理活检阳性,异常率为8.0%,二元Logistic回归分析结果显示,是否定期筛查宫颈癌、宫颈炎、吸烟、经常性服用口服避孕药是宫颈癌的独立影响因素(P<0.05);接受乳腺癌筛查病理活检异常率为4.9%,二元Logistic回归分析结果显示,致密型乳腺、乳腺增生、乳腺纤维囊肿是发生乳腺癌的独立影响因素(P<0.05).结论天津市某区实施的两癌筛查项目,在宫颈和乳腺病变的早期发现方面起到了至关重要的作用.

Objective The paper analyzed Status and influencing factors of breast and cervical cancer screening in a district of Tianjin.Methods Women aged 35-64 in a certain district of Tianjin from January 2021 to January 2024 were selected as subjects.Results Among 8490 cases received cervical cancer screening,679 cases tested positive for pathological biopsy,with an abnormal rate of 8.0%.Binary Logistic regression analysis showed that regular cervical cancer screening,cervicitis,smoking,and frequent use of oral contraceptives were independent influencing factors for cervical cancer(P<0.05);abnormal rate of pathological biopsy after breast cancer screening was 4.9%,binary Logistic regression analysis showed that dense breast,hyperplasia of breast and fibrocyst of breast were independent influencing factors for breast cancer(P<0.05).Conclusion Cancer screening implemented in a certain district of Tianjin has played a crucial role in the early detection of cervical and breast lesions.