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目的借助妇女个体乳腺筛查的平台和渠道,弥补群体普查不足,以进一步促进乳腺保健工作。方法对2011年乳腺保健门诊5 722例妇女机会性乳腺筛查结果进行分析,由乳腺保健门诊的专科医生对个体乳腺机会性筛查的妇女进行询问病史及临床触诊后,分别根据年龄及触诊情况给予乳腺超声或(和)钼靶的检查,再根据影像学分级情况建议活检。结果乳腺患病3 735例,疾病检出率65.27%,依次为乳腺增生症占77.35%,乳腺囊肿占16.14%,乳腺纤维瘤占4.07%,乳头溢液占1.66%,可疑癌占0.78%。手术活检98例,活检率1.72%。病理结果,良性病变79例,癌前病变8例,乳腺癌11例,乳腺癌检出率192.24/10万,早期乳腺癌检出率81.82%。结论在政府引导的妇女乳腺群体普查不能全面覆盖和保持日常性特征的情况下,乳腺保健门诊作为妇女个体乳腺筛查的平台和渠道,弥补了群体普查的不足,能有效地促进本地妇女乳腺的健康。
Objective To make use of the platform and channels of individual breast screening for women to make up for the shortage of population census to further promote breast health care. Methods Analyzed the results of opportunistic breast screening in 5 722 women in breast care outpatient in 2011. The women with breast opportunistic screening in breast health clinic were asked about the history and clinical palpation by specialists of breast health clinic, The diagnosis of breast ultrasound or (and) molybdenum target examination, and then according to the grading of imaging recommended biopsy. Results 3 735 cases of breast disease, disease detection rate was 65.27%, followed by mammary gland hyperplasia 77.35%, breast cyst 16.14%, breast fibroids 4.07%, nipple discharge accounted for 1.66%, suspected cancer accounted for 0.78%. Surgical biopsy in 98 cases, biopsy rate 1.72%. Pathological findings, 79 cases of benign lesions, precancerous lesions in 8 cases, 11 cases of breast cancer, breast cancer detection rate of 192.24 / 100000, the detection rate of early breast cancer was 81.82%. Conclusion As the platform and channel for breast screening of women through breast-feeding clinics can make up for the shortage of population census and can effectively promote the breast of local women health.