切尔尼耶夫地区女性生殖器官视觉恶性肿瘤形式的发病率:晚期和预防性检查期间的诊断

І. Mironyuk, G. Slabkiy, O. Shcherbinska, I. V. Rozhkova, Yu.M. Shen
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摘要

妇女恶性肿瘤的社会、经济和医学人口学意义是由处于工作和生育时期的女性人口的高发病率和死亡率决定的。女性恶性肿瘤的视觉形式,在早期阶段被诊断出来,是可以有效治疗的。目的:确定和分析五年来切尔尼耶夫地区妇女在晚期和预防性检查期间生殖器器官恶性肿瘤形式的诊断指标。材料和方法。使用了切尔尼耶夫州和乌克兰行政领土2017-2021年的官方统计数据。采用医学统计学方法和结构逻辑分析方法。研究发现,2017-2021年女性乳腺恶性肿瘤晚期诊断率呈下降趋势(24.9- 23.9%),宫颈恶性肿瘤晚期诊断率呈上升趋势(43.6 - 43.8%)。与此同时,在2021年的预防性检查中,只有29.0%的乳腺恶性肿瘤和19.1%的宫颈恶性肿瘤被诊断出来。研究年度(2017-2021年)预防检查中上述部位的恶性肿瘤诊断率下降。各项指标在区域行政区域内存在显著差异。2017-2021年,在乌克兰切尔尼耶夫地区,建立了晚期生殖器官视觉恶性肿瘤形式的高诊断水平和预防性检查中恶性肿瘤的低检测水平,这需要在地区一级和行政区域一级改进预防措施
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The morbidity of visual malignant neoplasms forms of the genital organs in the female population of Chernihiv region: late stages and diagnosis during preventive examination
The social economic and medical demographic significance of malignant neoplasms in women is determined by the high morbidity and mortality rates of the female population of working and reproductive periods. Visual forms of malignant neoplasms in women, which are diagnosed in the early stages, can be treated effectively.The objective: to determine and analyze the indicators of diagnosis of visual malignant neoplasms forms of the genital organs in late stages and during preventive examinations in women of Chernihiv region in the dynamics of five years.Materials and methods. The official statistical data for 2017–2021 of administrative territories of Chernihiv region and Ukraine were used. The medical-statistical method and the method of structural logical analysis were used.Results. It was established that the rate of female malignant breast neoplasms which were diagnosed in late stages during 2017-2021 has a tendency to decrease (24.9-23.9 %), while the frequency of malignant neoplasms of the cervix that were detected in late stages, has an upward trend (43.6–43.8 %). At the same time, only 29.0 % of breast malignant neoplasms and 19.1 % of malignant neoplasms of the cervix were diagnosed during preventive examinations in 2021.The rate of malignant neoplasms diagnosis of the above locations during preventive examinations in the study years (2017–2021) decreased. All the indicated indicators have significant differences in the administrative territories of the region.Conclusions. In Chernihiv region of Ukraine in 2017–2021, a high level of diagnosis of visual malignant neoplasms forms of the genital organs in late stages and a low level of detection of malignant neoplasms during preventive examinations were established, which requires improvement of preventive measures both at the regional level and at the level of administrative territory
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