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目的探讨农村妇女开展宫颈癌和乳腺癌筛查服务模式。方法 2010—2011年对常熟市农村35～59周岁妇女开展两癌筛查,以患病率、癌症检出率作为评估效果,与2009年农村妇女病普查相比较。结果 2010—2011年开展宫颈癌筛查妇女53 842人,妇科疾病检出率为23.54%,宫颈癌前病变为1.36‰,宫颈癌为13.0/10万;乳腺癌筛查53 874人,检出率为10.9%,乳腺癌检出率18.56/10万,两癌筛查患病率、癌症检出率明显高于普查。结论两癌筛查患病率、癌症检出率明显高于普查,应将两癌模式取代传统的普查模式,不断提高农村妇女的身心健康。
Objective To explore the rural women’s cervical cancer and breast cancer screening service model. Methods 2010-2011 to carry out screening of two cancer in rural women aged 35 to 59 in Changshu City, with prevalence and detection rate of cancer as the evaluation effect, compared with the 2009 survey of rural women’s disease. Results A total of 53 842 women were screened for cervical cancer in 2010-2011. The prevalence of gynecological diseases was 23.54%, the incidence of cervical precancerous lesions was 1.36 ‰, cervical cancer was 13.0 / 100,000, and breast cancer screening was 53 874. Rate of 10.9%, breast cancer detection rate of 18.56 / 100,000, the prevalence of cancer screening, cancer detection was significantly higher than the census. Conclusion The prevalence of cancer screening and cancer detection was significantly higher than that of the census. The two cancer modes should be replaced by the traditional census mode to improve the physical and psychological health of rural women.