梅州妇女乳腺疾病调查与分析

目的：通过对梅州妇女乳腺疾病的调查与分析,为当地卫生决策部门制定预防对策提供参考。方法：2010年9月-2013年9月,采用机会性筛查方法对9428名梅州妇女进行乳腺疾病抽样调查。结果：9428名梅州妇女中,患病人数为4703例,患病率为49.88%,其中乳腺增生率最大,为43.28%,其次为良性肿瘤率（5.05%）、其他乳腺疾病（1.47%）及乳腺癌（0.08%）;40～49岁年龄组患病率最高（60.74%）,其次为20～29岁（52.25%）、30～39岁（51.35%）、50～59岁（40.16%）、≥60岁（8.56%）;梅州市区妇女乳腺疾病发病率为45.67%,郊县妇女乳腺疾病发病率为52.98%,比较差异有统计学意义（P〈0.05）,市区与郊县妇女乳腺局限性增生差异比较具有统计学意义（P〈0.05）;影响该地区乳腺疾病的相关因素为母乳喂养、流产史、肥胖及乳腺疾病家族史。结论：注重加强乳腺癌的二级预防,对影响妇女患乳腺疾病的因素进行仔细观察,做到早发现、早诊断以及早治疗,能提高妇女的生活质量。

Investigation and Analysis of Women Breast Disease in Meizhou City

Objective： Through the investigation and analysis of women breast disease in Meizhou City, to provide a reference for local health departments to develop preventive measures.Method： Using the opportunity screening method to screen 9428 women with breast disease from September 2010 to September 2013.Result： Among the 9428 women, 4703 cases illness, the prevalence rate was 49.88%, breast hyperplasia with maximum rate was 43.28%. Followed by benign tumor with 5.05%, other breast diseases（1.47%） and breast cancer（0.08%）. The 40-49 years group had the highest prevalence （60.74%）, followed by 20-29 years old （52.25%）, 30-39 years old （51.35%）, 50-59 years old （40.16%）, ≥ 60 years old （8.56% ）. The breast disease morbidity in Meizhou City was 45.67%, and the suburban 52.98%, with statistical significance （P〈0.05）. The local thickening of mammary gland also had the statistical significance （P〈0.05）. Breastfeeding, abortion, obesity and family history of breast disease were the main influence factors of breast disease in Meizhou City.Conclusion：Focus on strengthening the secondary prevention of breast cancer, carefully observed the risk factors of breast disease, early detection, early diagnosis and early treatment, can improve life quality.