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目的通过2013年对章丘市35~59岁本地农村户籍已婚妇女进行以宫颈癌、乳腺癌为重点的“两癌”筛查工作,了解章丘市35~59岁“两癌”发病率及妇科疾病发生率,以进一步提高“两癌”的早诊早治率,降低死亡率,进行有效的群体防治。方法对94 116例农村妇女采取知识问卷、妇科检查、乳腺手诊、宫颈液基细胞学检查(TCT)、阴道镜、宫颈活组织病理、彩超、乳腺钼靶等方法 ,对宫颈癌、乳腺癌进行筛查。结果筛查发现妇科疾病患者18 474例,患病率达210.7‰;各类乳腺疾病12 207例,患病率达129.7‰;宫颈癌检出率为0.96/万,乳腺癌的检出率达6.5/万。结论经普查发现近年来章丘市“两癌”患病率仍较高且呈上升趋势,故积极有效的加强对农村妇女的健康教育、强化妇幼保健三级网络建设、提高基层人员业务水平、合理治疗癌前病变、及时诊断治疗“两癌”等干预措施,是促进早诊早治、提高患病人群的生活质量、降低死亡率的关键。
Objective To investigate the screening of cervical cancer and breast cancer focused on “two cancers” in 2013 in rural areas of 35-59 years old in Zhangqiu, “Incidence and incidence of gynecological diseases in order to further improve ” two cancers “early diagnosis and early treatment rate, reduce mortality, effective prevention and treatment of colony. Methods A total of 94 116 rural women were investigated with cervical cancer, breast cancer Screening. Results A total of 18 474 cases of gynecological diseases were found in the screening survey, with a prevalence of 210.7 ‰. A total of 12 207 breast cancer cases were found, with a prevalence of 129.7 ‰. The detection rate of cervical cancer was 0.96 per thousand. The detection rate of breast cancer reached 6.5 / million. Conclusion According to the census, the prevalence of ”two cancers“ in Zhangqiu City is still high and rising in recent years. Therefore, it is necessary to strengthen the health education for rural women and strengthen the construction of a three-level network of maternal and child health care so as to improve grassroots personnel service Level and reasonable treatment of precancerous lesions, timely diagnosis and treatment of ”two cancers" and other interventions, is to promote early diagnosis and treatment, improve the quality of life of the affected population, reduce the key to mortality.