农村妇女宫颈癌和乳腺癌筛查的实践与探讨

目的通过对农村妇女宫颈癌和乳腺癌的筛查实践,探讨宫颈癌和乳腺癌联合筛查的模式及效果。方法 2009年—2011年襄垣县妇幼保健院对该县适龄农村妇女开展宫颈癌和乳腺癌筛查。结果此次筛查共完成27 517名妇女的宫颈癌筛查,6 122名妇女的乳腺癌筛查,其中宫颈上皮内瘤变Ⅱ级(CINⅡ)及以上病变的患病率为0.49%,早诊率为91.2%。乳腺良性肿瘤33例(0.53%);乳腺癌2例(0.03%),早诊率为50。%结论宫颈癌检查有筛查基础,筛查及早诊、早治效果明显。乳腺癌筛查仍需规范,须加强技术培训,提高筛查水平。筛查体系和技术队伍建设是基层妇女保健服务的保证,对农村妇女同时进行宫颈癌、乳腺癌联合筛查优于单一项目筛查。

The rural women cervical cancer and breast cancer screening practices and discussion

Objective To practice two cancer screening for rural women.Methods From 2009 to 2011 in Xiangyuan County,the County Maternal and Child Health Hospital of women of childbearing age in cervical and breast cancer screening.Results Complete cervical cancer screening of 27 517 women,breast cancer screening of 6 122 women,including cervical intraepithelial neoplasia grade 2（CIN2）and the disease prevalence rate was 0.49%,the early diagnosis rate was 91.2%.Benign breast tumor in 33 cases（0.53%）;2 cases of breast cance（r 0.03%）,the early diagnosis rate of 50%.Conclusion Cervical cancer screening with screening,screening and early diagnosis and early treatment effect is obvious.Screening for breast cancer still needs the specification,strengthen technology training,improve the screening level.Screening system and the technical team construction is the base of women＇s health service guarantee.At the same time,cervical cancer,breast cancer screening is better than a single project screening for rural women.