目的：分析乳腺癌筛查在早期乳腺癌诊断中的应用，了解农村适龄妇女乳腺癌筛查的知信行(KAP)现状，旨在探讨适合农村妇女乳腺癌筛查的服务模式。方法2013年1月~2014年12月采用整群抽样的方式选取常熟市辛庄地区农村妇女为筛查对象，通过社区-医院联动的乳腺筛查及乳腺癌预防KAP问卷调查的方式分析乳腺癌筛查及KAP现状，并对比分析乳腺癌初筛者与曾接受筛查者相关情况。结果本次共筛查2098名农村妇女，共检出乳腺癌82例，检出率为3.91%，曾接受筛查人群的检出率为2.23%，明显低于初次筛查人群4.43%(P<0.05)；乳腺癌筛查的敏感性、特异性、准确性分别为91.8%、96.3%和94.3%；曾接受筛查者的乳腺癌知识、信念、行为得分均明显高于初次筛查者(P<0.05)。结论社区卫生服务机构-医院联动的筛查模式，可有效提高农村妇女乳腺癌的早诊早治率，同时应进一步加强农村妇女乳腺癌防治知识的宣传教育。%Objective To investigate application of breast cancer screening in early diagnosis of breast cancer, under-stand the status of knowledge, attitude and practice (KAP) of age women in rural areas, aimed to explore suitable ser-vice mode of breast cancer screening in rural areas. Methods With the method of cluster sampling, rural women in Xinzhuang District of Changshu City were selected as screening objects. During January 2013 to December 2014, the breast cancer screening and status of KAP were analyzed through breast screening based on the linkage of community-hospital and KAP questionnaire, and the relevant information between preliminary screening population and multiple screening population was comparatively analyzed. Results Of 2098 women in rural areas, 82 cases of breast cancer were detected, the detection rate was 3.91%. The detection rates in preliminary screening group and multiple screening group were 2.23%, 4.43%, with statistically significant difference (P<0.05). The sensitivity, specificity and accuracy of breast cancer screening was 91.8%, 96.3% and 94.3% respectively. The scores of knowledge, attitude and practice in preliminary screening group were significantly higher than those in multiple screening group (P < 0.05). Conclusion Screening model based on community health service center-hospital, can effectively improve the rates of early diagnosis and early treatment of breast cancer in age women in rural areas, at the same time the propaganda and education of prevention knowledge to breast cancer should be strengthened.
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