福建省2015—2018年农村妇女乳腺癌筛查的流行病学分析及模式探讨  

Epidemiological analysis and screening mode of breast cancer screening in Fujian province from 2015 to 2018

作　　者：黄晓曦[1] 黄欣欣[2] 陈壮威[1] 吴剑斌[1] 王红玫[1] Huang Xiaoxi;Huang Xinxin;Chen Zhuangwei;Wu Jianbin;Wang Hongmei(Department of Breast,Fujian Provincial Maternity and Children's Hospital,Affiliated Hospital of Fujian Medical University,Fuzhou 350001,China;Department of Fujian Provincial Materrity and Children's Hospital,Affiliated Hospital of Fujian Medical University Fuzhou 350001,China)

机构地区：[1]福建省妇幼保健院福建医科大学附属医院乳腺科,福州350001 [2]福建省妇幼保健院福建医科大学附属医院资料信息科,福州350001

出　　处：《中华医学杂志》2020年第30期2367-2371,共5页National Medical Journal of China

基　　金：福建省卫生计生面向农村和城市社区推广适宜技术项目(2018009)。

摘　　要：目的分析福建省2015—2018年农村妇女乳腺癌筛查结果,探讨乳腺癌筛查模式。方法对福建省35-64岁农村妇女提供乳腺癌筛查,以彩色超声(彩超)为初筛方式,发现可疑者转诊乳腺X线检查,彩超及乳腺X线4-5级者行病理学确诊。结果 2015—2018年乳腺癌发病率分别为56.96/10万、94.41/10万、71.61/10万、73.05/10万,乳腺癌发病高峰年龄段为(46-55)岁,2015—2018年份原位癌构成比呈现上升趋势。彩超的灵敏度为79.06%、彩超异常行乳腺X线检查的灵敏度为91.88%。结论乳腺癌筛查项目的乳腺癌发病率高于地区肿瘤登记发病率,原位癌构成比上升,说明筛查工作初见成效。基于乳腺彩超检查为主的筛查模式灵敏度高,是目前较为适宜的技术方案。Objective To analyze the screening results of breast cancer in rural women in Fujian Province from 2015 to 2018,and to explore the screening mode of breast cancer.Methods Breast cancer screening was provided for 35-64 years old rural women in Fujian province.Color Doppler ultrasound was used as the primary screening method.Suspected patients were referred to mammography.Color Doppler ultrasound and breast X-ray 4-5 grade were diagnosed by pathology.Results The incidence of breast cancer from 2015 to 2018 was 56.96/10 million,94.41/10 million,71.61/10 million,and 73.05/10 million,respectively.And the peak age of breast cancer was(46-55)years.From 2015 to 2018,the proportion of cancer in situ showed an overall upward trend.The sensitivity of color Doppler ultrasound was 79.06%,and the sensitivity of mammography for those diagnosed abnormally by ultrasound was 91.88%.Conclusion Breast cancer screening for women of the right age is an important measure to raise the rate of early diagnosis and early treatment and reduce the mortality of breast cancer.Screening mode based on breast ultrasound is the most suitable technology.We need to further expand the coverage of screening,improve the screening system and process,and ensure the health of women.

关 键 词：乳腺癌 筛查 模式 

分 类 号：R737.9[医药卫生—肿瘤]