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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。
Objective: To investigate the application of Gail breast cancer assessment model in the prevention of breast cancer in the community. Methods: From January 2009 to April 2011, 729 community-based women aged 35-65 years old in Bao’an District of Shenzhen City were educated on breast health education. The Gail breast cancer assessment model was used to assess the risk of breast cancer. The clinical trials of breast, B- Check and / or mammography, and follow-up 1-year follow-up, analyze and summarize the role of the Gail breast cancer assessment model in the prevention of breast cancer in the community. Results: A total of 729 women were screened out for a high risk of 274 people, with a low risk of 455 people. The prevalence of breast disease was 64.23% in high-risk groups and 63.30% in low-risk groups. There was no significant difference in the detection rates between the two groups (P> 0.05). The detection rate of breast cancer and breast cancer in high risk group was higher than that in low risk group (P <0.05). Conclusion: To assess the risk of breast cancer, and to focus on the intervention of the crowd, Gail breast cancer assessment model in the prevention of community-based breast cancer have a certain reference value.