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目的:了解秦皇岛市城镇在职妇女乳腺疾病流行病学特点,明确今后该地区乳腺疾病的防治重点。方法:回顾性分析1996~2005年及2008年秦皇岛市城镇在职妇女的乳腺普查资料和乳腺门诊就诊人员病种资料。结果:秦皇岛市城镇在职妇女乳腺癌发病率约为0.066%;乳腺疾病尤其是乳腺癌发病年龄呈年轻化趋势,乳腺增生的中位年龄由2005年以前的46.50岁提前到2008年的39.20岁;乳腺癌中位年龄由2005年以前的54.60岁提前到2008年的42.71岁,普查检出乳腺癌的中位年龄较门诊就诊收治的中位年龄(49.53岁)小6.82岁;教育系统尤其是大学女教师乳腺疾病发病率最高。结论:结合秦皇岛市城镇在职妇女乳腺疾病的流行病学特点,应针对高危人群做好普查普治工作,提高乳腺癌的早诊率,降低乳腺癌的死亡率,改善乳腺癌患者的生存质量。
Objective: To understand the epidemiological characteristics of breast cancer in working women in urban areas of Qinhuangdao City, and to clarify the focus of prevention and treatment of breast diseases in this area in the future. Methods: A retrospective analysis of the 1996-2005 and 2008 Qinhuangdao urban working women in breast census data and breast clinic visits patient information. Results: The incidence of breast cancer in working women in urban areas of Qinhuangdao City was about 0.066%. The age of breast diseases, especially breast cancer, showed a trend of younger age. The median age of breast hyperplasia was advanced from 46.50 years before 2005 to 39.20 years in 2008. The median age of breast cancer was advanced from 54.60 years before 2005 to 42.71 years in 2008. The median age of breast cancer detected by census was 6.82 years lower than the median age of outpatient visits (49.53 years). The education system, especially the university Female teachers the highest incidence of breast disease. Conclusion: Based on the epidemiological characteristics of breast cancer in working women in urban areas of Qinhuangdao, we should do a good job of screening and treating common people at high risk, improve the diagnosis rate of breast cancer, reduce the mortality of breast cancer and improve the quality of life of breast cancer patients.