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目的分析2015-2018年广东省农村妇女乳腺癌筛查数据,了解广东省农村妇女乳腺癌筛查情况及乳腺疾病的检出情况,为妇女保健工作提供依据。方法回顾性分析2015-2018年广东省35～64岁农村妇女乳腺癌筛查资料,了解乳腺疾病的检出情况。按照乳腺癌筛查流程,接受检查的所有妇女进行乳腺临床检查和乳腺彩超检查,对乳腺彩超检查BI-RADS分级0级以及3级者,进行乳腺X线检查,对乳腺彩超检查BI-RADS分级4～5级、X线检查BI-RADS分级4～5级应当直接进行组织病理学检查。对乳腺X线检查0级和3级者应当由县级以上临床医生综合评估后进行随访或活检或其他进一步检查。结果 2015-2018年参加广东省农村妇女乳腺癌检查项目的共计324 416例,超声BI-RADS分级4级和5级的比例为0.75%,X线BI-RADS分级4级和5级的比例为4.78%,2015-2018年共检出乳腺纤维瘤2086例,检出率为0.64%,共检出/10万。2015-2018年乳腺癌的检出率10万上升到2018年的63.41/10万。结论广东省乳腺癌检出率呈现上升趋势,因此,加强乳腺癌防控知识的宣传教育,定期开展以防控乳腺癌为目的的女性疾病筛查工作意义重大,对降低乳腺癌的发病率有重要作用。
Abstract：Objective To analyze the data of breast cancer screening among rural women in Guangdong Province from 2015 to2018, and understand the situation of breast cancer screening and the detection of breast diseases, so as to provide a basis for women health care work.Method The breast cancer screening data among rural women aged 35-64 years old in Guangdong Province from2015 to 2018 were analyzed retrospectively to understand the detection of breast diseases. All the women underwent breast clinical examination and color ultrasonography. Mammography was performed in women with BI-RADS grade 0 and 3 of ultrasonography.Histopathological examination was performed directly in women with BI-RADS grade 4-5 of ultrasonography and mammography,respectively. The women with grade 0 and grade 3 of mammography were comprehensively evaluated by clinicians at or above the county level for follow-up or biopsy or other further examination.ResultA total of 324,416 rural women participated the breast cancer screening in Guangdong Province from 2015 to 2018. Among them, 0.75%and 4. 78% were classified as BI-RADS grade 4 to grade 5 of ultrasonography and mammography, respectively. From 2015 to 2018, a total of 2,086 cases of breast fibroma were detected, with a detection rate of 0.64 %. A total of 561 cases of intraductal papilloma were detected, and the detection rate was 0.17 %. A total of141 cases of breast cancer were diagnosed, with a detection rate of 43. 46 per 100,000 women. The detection rate of breast cancer increased from 25.33 per 100,000 women in 2015 to 63.41 per 100,000 women in 2018.Conclusion The detection rate of breast cancer in Guangdong Province shows an upward trend. Strengthening the health education of breast cancer prevention and control knowledge and regularly carrying out screening for women play an important role in reducing the incidence of breast cancer. It is of great significance to strengthen the health education of breast cancer prevention and control knowledge and regularly carry out the screening for the purpose of breast cancer prevention and control, which plays an important role in reducing the incidence of breast cancer.
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基本信息:
DOI：10.19757/j.cnki.issn1674-7763.2021.01.001
中图分类号:R737.9
引用信息:
[1]黄千峰,武丽,罗绍兰,等.2015-2018年广东省农村妇女乳腺癌筛查结果分析[J].中国妇幼卫生杂志,2021,12(01):1-5+16.DOI:10.19757/j.cnki.issn1674-7763.2021.01.001.
基金信息:
广东省医学科研基金课题(C2018019)