青岛市黄岛区适龄妇女乳腺癌与宫颈癌筛查结果及意义.docVIP

青岛市黄岛区适龄妇女乳腺癌与宫颈癌筛查结果及意义 　　[摘要]目的 探?青岛市黄岛区适龄妇女乳腺癌和宫颈癌筛查结果及意义。方法 选择2016年1～12月参加免费宫颈癌和乳腺癌筛查的2000例适龄妇女作为研究对象。2000例妇女均常规进行免费的乳腺癌和宫颈癌检查，统计受检者筛查结果，分析乳腺癌和宫颈癌患病情况，并分析不同年龄段（36～50岁和51～64岁）乳腺癌前病变、乳腺癌、宫颈炎的检出情况。结果 乳腺行手诊2000例，乳腺B超检查700例，乳腺钼靶检查315例，其中发现乳腺BI-RADS 2级4例，发现乳腺BI-RADS 3级11例，乳腺BI-RADS 4A级3例，乳腺BI-RADS 4C级1例，其中1例定型为乳房恶性肿瘤。在乳腺癌前病变检出率和乳腺癌检出率方面，36～50岁和51～64岁比较，差异无统计学意义（P0.05）。宫颈涂片2000例，宫颈巴氏异常率为1.15%（23/2000）；阴道镜检查200例，宫颈组织病理检查100例，宫颈炎症率为2.95%，未发现宫颈恶性肿瘤。36～50岁（1.43%）宫颈巴氏涂片检查阳性率显著高于51～64岁者（0.84%），差异有统计学意义（P0.05）。36～50岁（3.93%）宫颈炎检出率显著高于51～64岁者（1.88%），差异有统计学意义（P0.05）。乳腺癌和宫颈癌筛查均未检出癌前病变。结论 青岛市黄岛区适龄妇女乳腺癌和宫颈癌筛查工作开展良好，有效检出了乳腺癌/宫颈癌及癌前病变，对于患者及早治疗，改善预后较为有利。 　　[关键词]宫颈癌；乳腺癌；筛查；适龄妇女 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2017）03（b）-0078-03 　　[Abstract]Objective To explore the screening results and significance of breast cancer and cervical cancer among women at appropriate age in Huangdao District of Qingdao City.Methods A total of 2000 women at appropriate age participating in free cervical cancer and breast cancer screening from January to December in 2016 were selected as research objects.All these participants were provided with regular breast cancer and cervical cancer examinations for free.The screening results were calculated.The prevalence of breast cancer and cervical cancer was analyzed.Detection of breast precancerous lesion，breast cancer，and cervicitis at different age groups including 36 to 50 years old and 51 to 64 years old were analyzed.Results There were 2000 women performed with hand touching on breasts，700 ones with mammary gland ultrasonography，and 315 with mammography.Among them，the number of BI-RADS 2，BI-RADS 3，BI-RADS 4A，and BI-RADS 4C was 4，11，3，and 1 case，of which one person was diagnosed as breast malignant tumor.With regards to detection rates of breast precancerous lesion and breast cancer，there was no statistical difference between 36 to 50 years old and 51 to 64 years old （P0.05）.All participants received with cervical smear，and the abnormal rate of c