永乐店社区农村妇女乳腺癌和宫颈癌筛查结果分析

目的：分析永乐店社区农村妇女乳腺癌和宫颈癌筛查结果，找出本地区妇女乳腺癌和宫颈癌发病规律。针对高危人群进行早期筛查，早期治疗，早期干预，以进一步降低乳腺癌和宫颈癌的发生率。方法对永乐店社区服务中心2009年～2013年3次两癌筛查的结果分析，将宫颈癌筛查人群分3个年龄段，分别对异常涂片进行统计分析。将乳腺癌筛查人群分为2个年龄段，从乳腺癌患病人数及患病率进行统计分析。结果在宫颈癌筛查中，25～40岁年龄段组，宫颈上皮内瘤变（CIN）平均检出率161.74/10万，宫颈癌平均检出率为0/10万；41～55岁年龄段组， CIN检出率平均为712.17/10万，宫颈癌平均检出率90.77/10万；56～65岁年龄段组，CIN检出率平均为191.62/10万，宫颈癌检出率平均为0/10万；41～55岁年龄段组的检出率明显高于其他年龄段组，差异具统计学意义（P＜0.05）。乳腺癌在35～49岁年龄段组，3次筛查平均检出率20.37/10万；在50～59岁年龄段组，3次筛查平均检出率平均为154.22/10万；50～59岁年龄段组平均检出率明显高于35～49岁年龄段组，差异具有统计学意义（P＜0.05）。结论宫颈癌及CIN在41～55岁为高发年龄段，乳腺癌在50～59岁为高发年龄段。定期对农村妇女进行筛查尤其是高发年龄段的筛查能有效降低两癌的发生率，节约医疗资源。

The result analyzation of the breast cancer and cervical cancer screening of the rural women in Yong Ledian Community

Objective To figure out the pathogenetic regularity of the breast cancer and cervical cancer by analyzing the result of the breast cancer and cervical cancer of the rural women in Yong Ledian Community. Then aim for the high risk group to do the screening, treatment and intervention in early period in order to reduce the incident rate of the cancers. Methods Analyze the results from 2009 to 2013 of the breast cancer and cervical cancer screening in Yong Ledian Community. Divided the cervical cancer screening women into 3 age groups, and do the statistic analysis with the abnormal smear. Divided the breast cancer screening women into 2 age groups to do the statistic analysis with the patient number and morbidity rate. Results In the cervical cancer screening, the average positive rate of CIN in 25~40 age group is 161.74/100 thousand, the average positive rate of cervical cancer is 0/100 thousand. The average positive rate of CIN in 41~55 age group is 712.71/100 thousand, the average positive rate of cervical cancer is 90.77/100 thousand. The average positive rate of CIN in 56~65 age group is 191.62/100 thousand, the average positive rate of cervical cancer is 0/100 thousand. The 41~55 age group is apparently higher than other age groups, And the CIN of this age group has statistical significance than other groups（P〈0.05）. The average positive rate is 20.37/100 thousand in 35~49 age group, which is lower than the average positive rate in 50~59 age group（154.22/100 thousand）, and it is significance difference（P〈0.05）. Conclusion The age between 41 to 55 is the highly incidence period of cervical cancer and cervical CIN. For the breast cancer, aged 50 to 59 is highly incidence period. To do the regular screening for the rural women especially for the highly incidence age group can reduce the incidence rate of cervical cancer and breast cancer and also save the medical resources.