Objective To compare detectable rates of free two gynecological cancers ( cervical cancer and breast cancer) screening and past gynecopathy screening for cervical cancer and breast cancer, and to explore a new mode to prevent and treat gynecopathies. Methods The results of free two gynecological cancers screening were compared with those of past gynecopathy screening in three years of 2005, 2006 and 2007. The residents who received free two gynecological cancers screening were investigated with a questionnaire. And the attitudes of residents and doctors to free two gynecological cancers screening were investigated through group visiting. Results The detectable rates of cervical cancer and breast cancer in free two gynecological screening were higher than those in past gynecopathy screening. The ages of women who volunterily received free two gynecological cansers screening were almost all centralized in a span of 45 to 60 years of age. The residents had positive attitudes to screening flow sheet, health education, doctor' s service manner and screening skills of investigators. The investigators considered that the free two gynecological cancers screening enhanced their techniques and personal comprehensive abilities.Conclusion Free two gynecological cancers screening poses positive effects in service mode, screening method and service outcome, which provides reference basis for orientation of prevention and treatment of gynecopathy. In prevention and treatment of gynecopathy, the key steps should include paying more attention to community residents, adopting advanced screening method, improving multiple department cooperation and doing well services after screening.%目的 比较免费两癌(子宫颈癌、乳腺癌)筛查与既往妇女病普查对子宫颈及乳腺癌的检出效果,探讨妇女病防治工作新思路.方法 免费两癌筛查与2005、2006、2007年妇女病普查结果相比较;对参加免费两癌筛查的居民进行问卷调查;应用定性研究的小组访谈方法了解居民和医务人员对两癌筛查效果的评价.结果 免费两癌筛查的两癌检出率远高于妇女病普查中两癌检出率;自愿参加免费两癌筛查人群年龄集中在45～60岁,居民对两癌筛查的流程、健康宣教、服务态度、筛查技术水平持肯定态度;参加两癌筛查的医务人员认为提高了筛查技术水平及个人综合能力.结论 免费两癌筛查在服务模式、筛查方法、服务效果上达到了肯定,为妇女病防治工作的发展方向提供一定可借鉴的依据.妇女病防治工作应关注社区人群,采用相对先进的筛查方法,多部门协作,做好筛查后续服务.
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