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目的通过分析为国家宫颈癌和乳腺癌筛查提供基本评价数据。方法 2009～2010年山西省襄垣县妇幼保健院对该县30～59岁妇女通过醋酸/碘染色后肉眼观察方法开展宫颈癌筛查,阳性者转诊阴道镜,镜下有病变时取活检,以病理诊断为金标准。对35～59岁的妇女开展乳腺癌筛查,以临床检查法为初筛方法,怀疑阳性者通过超声或乳腺X线进行诊断。结果 2009年完成1993名妇女的宫颈癌筛查,其中宫颈上皮内瘤变2级(CIN2)及以上病变的患病率为1.6%,早诊率为100%,第2年复查率为91%,仅查出1例CIN2,未查出更高病变,早诊率达100%。完成1819名妇女的乳腺癌筛查,乳腺良性病变9例(4.02%),良性肿瘤3例(1.34%);2010年完成2026名妇女的乳腺癌筛查,良性病变103例(13.57%),良性肿瘤14例(1.84%),可疑恶性1例。结论该县宫颈癌的筛查效果明显,乳腺癌筛查仍需加强技术培训。筛查体系和技术队伍建设是基层单位承担农村妇女健康保健服务的关键。
Objective To provide basic evaluation data for national cervical and breast cancer screening through analysis. Methods From 2009 to 2010, Xiangyuan County Maternal and Child Health Hospital of Shanxi province conducted cervical cancer screening by naked eye observation after acetic acid / iodine staining in women aged 30-59 years. Positive patients were referred for colposcopy, Pathological diagnosis as the gold standard. Breast cancer screening is carried out for 35- to 59-year-old women. The clinical screening method is the primary screening method, and the positive ones are diagnosed by ultrasound or mammography. Results The screening of cervical cancer in 1993 women was completed in 2009, of which the prevalence of cervical intraepithelial neoplasia grade 2 (CIN2) and above was 1.6%, the rate of early diagnosis was 100%, the rate of second year examination was 91% , Only one case of CIN2 was detected. No higher lesions were detected, and the diagnosis rate was 100%. A total of 1819 women were screened for breast cancer, including 9 benign breast lesions (4.02%) and 3 benign tumors (1.34%). In 2010, 2026 women were screened for breast cancer, 103 (13.57%) benign lesions, Benign tumors in 14 cases (1.84%), suspicious malignant in 1 case. Conclusion The screening effect of cervical cancer is obvious in this county, and the technical training is still needed to be screened for breast cancer. The establishment of a screening system and technical team is the key for grass-roots units to undertake rural women’s health care services.