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目的了解杭州市萧山区妇女乳腺疾病的发病情况,做到早诊断、早治疗,并探讨其可能影响因素和制定预防措施。方法采取分层整群随机抽样的方法,对2 268例妇女进行了问诊、触诊、红外线乳腺检查、B超、钼靶X线和病理样品等检查。结果2 268例妇女中患有乳腺疾病798例,患病率为35.18%,乳腺癌的患病率为0.18%,年龄以30~40岁组最高(46.30%)。职业是农民和工人较低,文教卫生等专业技术人员较高(P<0.01);患病原因与生育、未哺乳、避孕药物、人工流产、精神因素造成内分泌失调有关。结论乳腺疾病的发生受多种因素的影响,应采取综合措施进行预防,力求早发现、早诊断、早治疗,以更全面地保障广大妇女的身体健康。
Objective To understand the incidence of breast diseases in Xiaoshan District, Hangzhou City, so as to make early diagnosis and treatment as early as possible and to explore the possible influencing factors and to make preventive measures. Methods A total of 2 268 women were interviewed, palpated, examined by infrared mammary gland, B ultrasound, mammography X-ray and pathological examination by stratified cluster random sampling. Results Among 2 268 women, there were 798 cases of breast disease with the prevalence of 35.18%. The prevalence of breast cancer was 0.18%, and the highest was in the group of 30-40 years old (46.30%). Occupation was lower in peasants and workers, culture, education and health and other professional and technical personnel higher (P <0.01); causes of illness and fertility, not lactation, contraceptives, induced abortion, mental disorders caused by endocrine disorders. Conclusion The occurrence of breast disease is affected by many factors. Comprehensive measures should be taken to prevent it. Early detection, early diagnosis and early treatment should be taken to ensure the general health of women.