2021年浦锦街道女性妇科病和乳腺病筛查结果及阳性复诊分析  

Analysis of screening and tracking results for gynecological and breast diseases among the women in Pujin community in

作　　者：张红梅 古明英 庞清月 诸诚业 李荣 ZHANG Hongmei;GU Mingying;PANG Qingyue;ZHU Chengye;LI Rong(Department of Public Health,Pujin Community Health Center,Shanghai 201112,China)

机构地区：[1]浦锦社区卫生服务中心公共卫生管理中心,上海201112

出　　处：《社区医学杂志》2023年第12期606-610,共5页Journal Of Community Medicine

摘　　要：目的了解2021年浦锦街道退休和生活困难妇女中各妇科病的患病情况以及宫颈癌、乳腺癌(简称两癌)早发现情况,为妇科病、乳腺病的筛查(简称两病筛查)及妇女保健工作提供依据。方法于2021年浦锦街道退休和生活困难妇女两病筛查年报表及筛查阳性随访报表中,收集整理1504名参加两病筛查妇女的筛查结果及阳性复诊结果,进行描述性分析。统计学分析采用Fisher确切概率法。结果1504名两病筛查对象中,妇科病的总患病率为38.50%。子宫肌瘤的患病率为33.05%,慢性宫颈炎为6.38%,盆腔积液为3.92%,卵巢囊肿为2.26%,宫颈息肉为1.53%,念珠菌性阴道炎为1.26%,急性宫颈炎为0.93%。其中子宫肌瘤、慢性宫颈炎、盆腔积液、急性宫颈炎各年龄组间的患病率差异有统计学意义,P值分别为0.012、0.017、<0.001、0.015;卵巢囊肿、宫颈息肉、念珠菌性阴道炎各年龄组间的患病率差异无统计学意义,P值分别为0.137、0.670、0.742。乳腺彩色超声筛查阳性患者中确诊早期乳腺癌7例,TCT筛查阳性患者中确诊早期宫颈癌4例。结论两病筛查有利于退休和生活困难妇女的两癌早发现,后续应着重提高退休妇女的健康卫生意识和对筛查阳性结果的重视度,并为居民创造便利快捷的复诊通道。Objective To learn the prevalence rate of gynecological diseases and the status of breast and cervical cancers a-mong the retired women and those in poverty in Pujin community,and provide a reference for disease screening and woman health care work.Methods The screening results and positive follow-up results of 1504 women who participated in screening for two diseases in Pujin community in 2021 were collected and analyzed descriptively in the 2021 annual report and positive follow-up report on screening for two diseases among retired women and women in poverty in Pujin communi-ty.Statistical analysis was conducted using Fisher exact probability method.Results General gynecological diseases prev-alence rate was 38.50%.The prevalence of uterine fibroids was 33.05%,chronic cervicitis 6.38%,pelvic effusion 3.92%,ovarian cysts 2.26%,cervical polyps 1.53%,candidal vaginitis 1.26%,and acute cervicitis 0.93%.The prevalence rates of uterine fibroids,chronic cervicitis,pelvic effusion,and acute cervicitis among different age groups were statistically sig-nificant,with P values of 0.012,0.017,<0.001,and 0.015,respectively;There was no significant difference in the preva-lence rates of ovarian cysts,cervical polyps,and candidal vaginitis among age groups,with P values of 0.137,0.670,and O.742,respectively.Seven persons were further diagnosed as early breast cancer in the positive group screened out by breast color Doppler ultrasound,and 4 persons were further diagnosed as early cervical cancer in the positive group screened out by cervical fluid based thin layer cytology(TCT)method.Conclusion Regular screening strategy is good for awareness of early breast and cervical cancers.Health education and compliance for further examination among the retired women should be enhanced,also more feasible channel to take further examination should be created.

关 键 词：妇科病筛查 宫颈癌 乳腺癌 宫颈液基薄层细胞学 乳腺彩色超声 子宫肌瘤 浦锦街道 

分 类 号：R173[医药卫生—妇幼卫生保健]