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目的了解2012-2015年吴江区20~64岁妇女宫颈癌和乳腺癌(简称两癌)筛查开展的实际状况、两癌的发病情况及两癌筛查的实际效果。方法对男女有一方户籍在吴江区辖区内、年龄20~64岁妇女在知情同意的基础上按照吴江区适龄妇女两癌筛查工作方案和流程免费提供宫颈癌和乳腺癌筛查。结果 2012-2015年吴江区20~64岁妇女宫颈癌筛查149 718例,筛查出宫颈癌43例,检出率为28.72/10万;宫颈癌前病变871例,检出率为581.76/10万。乳腺癌筛查157 541例,筛查出乳腺癌76例,检出率为48.24/10万。两癌的检出率呈逐年下降趋势,宫颈癌的高发年龄为45~49岁,乳腺癌的高发年龄为45~49岁。结论开展适龄妇女免费两癌筛查工作可以早期发现并治疗癌及癌前病变,对降低宫颈癌和乳腺癌的发病率及死亡率具有重要的意义。应进一步完善筛查制度,提高妇女两癌筛查率,加强过程管理和质量控制,保障妇女的生命健康。
Objective To investigate the actual status of screening for cervical cancer and breast cancer (two cancers) in women aged 20-64 years in Wujiang district from 2012 to 2015, the incidence of two cancers and the actual effect of screening for two cancers. Methods One of the two men and women domicile in Wujiang District, aged 20 to 64 women on the basis of informed consent according to Wujiang District, women of different age stages of cancer screening programs and procedures for cervical cancer and breast cancer screening free of charge. Results A total of 149 718 cervical cancer screening tests were performed in women aged 20-64 years in Wujiang district from 2012 to 2015. 43 cases of cervical cancer were screened out, with a detection rate of 28.72 / 100 000 and 871 cervical precancerous lesions with a detection rate of 581.76 / 100,000. A total of 157 541 cases of breast cancer were screened, 76 cases of breast cancer were screened out, with a detection rate of 48.24 / 100 000. The detection rate of two cancers showed a declining trend year by year. The high incidence of cervical cancer was 45-49 years old and the high incidence of breast cancer was 45-49 years old. Conclusions It is of great significance to carry out the screening of two cancers free of charge for women of childbearing age to detect and treat cancer and precancerous lesions early and reduce the incidence and mortality of cervical cancer and breast cancer. The screening system should be further improved, the screening rate of two cancer patients should be increased, the process management and quality control should be strengthened, and the life and health of women be guaranteed.