2015年清远市1.6万农村妇女宫颈癌和乳腺癌筛查结果分析(实用医学杂志).doc

2015年清远市1.6万农村妇女宫颈癌与乳腺癌筛查结果分析 余文洁 肖淑君 沈锦红 崔艳萍 刘艳红 蓝云飞 【摘要】目的 分析2015年清远市1.6万农村妇女宫颈癌和乳腺癌筛查结果。方法 以清远市1.6万农村妇女作为筛查对象，以自愿参加的原则，同意者进行问卷调查，结合妇科常规检查、宫颈脱落组织细胞学检查，巴氏3级患者进一步行阴道镜下活检；乳腺临床触诊和乳腺彩超检查，分别分析妇科和乳腺筛查结果，分析宫颈癌和乳腺癌发病情况，并了解人口学情况、遗传因素以及生活习惯等，分析危险因素。结果 1.6万农村妇女进行宫颈癌筛查，初筛阳性者384例，宫颈癌前病变118例，其中CIN I级73例，II级23例，III级22例，宫颈癌8例，其中腺癌1例（12.5％），鳞癌7例（87.5％）。45-55岁妇女宫颈癌检出率最高，不同年龄段宫颈癌前病变检出率存在显著差异（P0.05）。乳腺高度可疑癌11例，病理确诊乳腺癌7例，其中浸润性导管癌6例，导管内癌1例。另乳腺恶性淋巴瘤1例。 40岁以上乳腺癌检出率最高，不同年龄段乳腺癌检出率存在显著差异（P0.05）。人乳头瘤病毒（Human Papillomavirus，HPV）感染、宫颈癌家族史、乳腺癌家族史、初次生育年龄、不良生活事件、生育后是否哺乳是宫颈癌/乳腺癌危险因素（P0.05）。结论 开展农村妇女两癌筛查工作，能够早发现、早治疗宫颈癌和乳腺癌，针对宫颈癌和乳腺癌高危因素还需要加强健康教育工作。 【关键词】农村妇女；筛查；宫颈癌；乳腺癌 The Analysis Of Cervical And Breast Cancer Screening Results 16000 Among Rural Women of QingYuan In 2015 Year 【Abstract】Objective To analyze the analysis of Cervical and breast cancer screening results 16000 among rural women of QingYuan in 2015 year.Methods 16,000 certain area rural women as a screening target were agreed to the survey,women were combined with gynecological examination, cervical cytology off organizations accordance with the full mobilization and participation principle,Positive patients were taken colposcopy pathological examination, screening results were analyzed, the incidence of cervical and breast cancer were analyzed,the demographic situation, genetic factors and living habits was understanded,risk factors was analyzed.Results 16000 rural women were cervical screening, screening positive was 432 cases, 312 cases were referral, referral rate was 72.2%,Cervical lesions was 73 cases, 11 cases were CIN Igrade,31cases were II grade ,31 cases were grade III, 5 cases were cervical cancer, which 4 cases were adenocarcinoma (12.5%), one case was squamous cell carcinoma (87.5%). Women aged 45 to 55 was the highest detection rate of cervical cancer, there were significant differences (P 0.05) of different ages detection rate of cervical lesions.Highly suspicious breast carcinoma was 11 cases, seven cases was pathol