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[目的]比较钼靶筛查及以健康教育为先导的多途径乳腺癌早发现筛查模式开展效果,探索适宜于社区开展的乳腺癌早发现模式。[方法]分析35~74岁健康女性乳腺癌筛查(A模式)与基于社区的多途径乳腺癌早发现模式(B模式)模式下乳腺癌检出率、早期率以及乳房触诊阳性率,并行成本效果分析。[结果]A模式乳腺癌检出率、早期率及乳房临床触诊阳性率均高于B模式(42.78%vs 11.66%;81.25%vs 37.50%;57.67%vs 9.43%;P均<0.05)。B模式成本低于A模式。[结论 ]加强社区医生专科医院实训,解决钼靶补偿机制,通过危险度问卷+临床触诊筛查出可疑人群,可有效开展乳腺癌早发现工作。
[Objective] To compare the effect of mammography screening and early detection screening mode of multi-pathway breast cancer with health education as the guide, and explore the mode of early detection of breast cancer suitable for community development. [Methods] The detection rate of breast cancer, the early rate and the positive rate of breast palpation in 35 ~ 74 years old healthy women with breast cancer screening (A mode) and community-based multi-path breast cancer early detection mode (B mode) Parallel cost-effectiveness analysis. [Results] The positive rates of breast cancer in model A were higher than those in model B (42.78% vs 11.66%, 81.25% vs 37.50%, 57.67% vs 9.43%, P <0.05). B mode cost is lower than A mode. [Conclusion] Strengthening the training of Community Doctors’ Hospital, solving the mechanism of molybdenum target compensation, screened the suspicious population through risk questionnaire + clinical palpation, can effectively carry out the early detection of breast cancer.