夹江县2012―2016年妇女乳腺癌筛查的的结果分析.docVIP

夹江县2012―2016年妇女乳腺癌筛查的的结果分析 　　【摘要】 目的：对群体性妇女乳腺癌筛查结果进行分析，探讨乳腺癌检出方法，为制定群体性妇女乳腺癌筛查方案提供支持。方法：以夹江县2012-2016年35～64岁接受乳腺癌免费筛查农村妇女为研究对象，所有受检者都进行临床检查和超声检查，对临床或/和B超检查发现恶性或可疑恶性者，进行乳腺钼靶X线检查，对临床检查、超声检查和钼靶X线检查都为可疑或恶性者做组织病理学检查，病理检查结果为诊断乳腺癌的金标准。结果：临床和超声都检查4000人，钼靶X线检查459人，病理检查11人，检查出乳腺疾病1430人，乳腺疾病检出率35.75%，其中乳腺癌2例，乳腺癌检出率50.00/10万。结论：乳腺临床检查联合超声检查、辅助钼靶X线检查的筛查方案，是目前我国乳腺癌筛查的有效手段。 　　【关键词】 乳腺癌； 筛查； 结果； 分析 　　doi：10.14033/j.cnki.cfmr.2017.24.026 文献标识码 B 文章编号 1674-6805（2017）24-0049-03 　　【Abstract】 Objective：To analyze the results of mass screening for breast cancer in women，to study the breast cancer detection methods，and to provide supportive data for establishing methods for mass breast cancer screening in women.Method：From 2012 to 2016，women aged 35 to 64 years in rural areas of Jiajiang County received free breast cancer screening were enrolled in this research.All the subjects underwent clinical check and ultrasoundgraphy，and were referred to further molybdenum target X-ray examination once the clinical or/and ultrasound check showed malignant or suspicious results.Pathological test was performed for those whose molybdenum target X-ray examinations were positive，which was the gold standard for diagnosing breast cancer.Result：Four thousands women underwent both clinical examinations and ultrasoundgraphy.Molybdenum target X-ray examination was performed on 459 women，while pathology was performed on 11 ones.Breast diseases rates were 35.75%（1430 cases），including 2 cases diagnosed as breast cancer.The breast cancer detection rate was 　　50.00 per 100 000.Conclusion：Clinical examination combined with ultrasoundgraphy plus molybdenum target X-ray examination，has been an effective method for breast cancer screening so far. 　　【Key words】 Breast cancer； Screening； Results； Analysis 　　First-author’s address：Maternal and Children Health Care Hospital of Jiajiang County，Jiajiang 614100，China 　　乳腺癌是女性最常见的恶性肿瘤之一，发病率位居女性恶性肿瘤的首位，严重危害妇女的健康。乳腺癌是目前最可靠能做到早发现、早治疗的恶性肿瘤，是WHO建议的应开展人群普查的两种恶性肿瘤之一[1]。夹江县于