Gail乳腺癌评估模型在乳腺癌社区预防的应用

目的:探讨Gail乳腺癌评估模型在社区预防乳腺癌的应用。方法:于2009年1月～2011年4月对深圳市宝安区729名35～65岁社区妇女进行乳腺保健教育,使用Gail乳腺癌评估模型评估乳腺癌发病风险,实施乳腺临床检查、乳腺B超检查或/和乳腺X线检查,并进行追踪随访1年,分析和总结Gail乳腺癌评估模型在社区预防乳腺癌中的作用。结果:729名妇女中筛查出高风险274人,低风险455人;高风险人群乳腺疾病检出率64.23%,低风险人群乳腺疾病检出率63.30%,两组检出率差异无统计学意义(P>0.05);高风险组乳腺肿块和乳腺癌的检出率高于低风险组,差异有统计学意义(P<0.05)。结论:进行乳腺癌发病风险评估,从而有针对性地对重点人群进行干预,Gail乳腺癌评估模型在社区乳腺癌的预防中有一定的参考价值。

Application of Gail model for breast cancer assessment in breast cancer prevention in the community

Objective:To explore the application of Gail model for breast cancer assessment in breast cancer prevention in the community.Methods:Breast health education was conducted among 729 women aged 35-65 years old in Baoan district of Shenzhen city from January 2009 to April 2011,Gail model for breast cancer assessment was used to evaluate the risk of breast cancer.Clinical breast examination,breast type-B ultrasound and/or breast X-ray examination were performed and all the women were followed up for one year.The function of Gail model for breast cancer assessment in breast cancer prevention in the community was analyzed and summarized.Results:Among 729 women,274 women were found as high risk population,and 455 women were found as low risk population.The detection rates of breast diseases in high risk population and low risk population were 64.23% and 63.30%,respectively,there was no statistically significant difference between the two groups(P>0.05).The detection rates of breast mass and breast cancer in high risk group were statistically significantly higher than those in low risk group(P<0.05).Conclusion:The risk assessment for breast cancer is helpful to intervene the targeted population.Gail model for breast cancer assessment has a certain reference value in breast cancer prevention in the community.