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一般醫療新知 : 健保將給付五十歲以上到六十九歲婦女免費乳房X光檢查
發表者 wangob 於 2004-03-10 10:37:21 (4330 人氣)

衛生署國民健康局於3月8日婦女節前夕宣布,自民國93年七月一日起,五十歲以上到六十九歲婦女可每兩年接受一次免費乳房X光檢查,據估計將有十萬婦女受惠。



衛生署國民健康局局長林秀娟指出,台灣地區民國九十一年有四千多人罹患乳癌,因乳癌死亡者超過一千人。臨床上越來越多的研究都顯示,只靠自我乳房檢查不足以盡早讓腫瘤「現形」,近年來衛生署與醫界開始宣導民眾,除了每月自我乳房檢查,還應該定期到醫院接受乳房X光與超音波檢查。

 為鼓勵婦女在自我乳房觸診外,定期到醫院接受檢查,國民健康局九十一年起針對五十歲到六十九歲婦女推動兩階段乳房X光篩檢試辦計畫。試辦計畫先完成二十五萬份問卷,接下來實際篩檢五萬六千名婦女,共發現九十八名乳癌個案,半數以上是零或第一期患者,兩成屬原位癌,比以往的七%高三倍,顯示乳房X光篩檢有成效。

 因此,衛生署決定從今年七月起,由健保給付五十歲以上到六十九歲婦女每兩年做一次免費乳房X光檢查。衛生署同時考慮讓有乳癌家族史的高危險群病患納入免費篩檢對象,適用對象還在討論中。

世界衛生組織贊助最新研究認為女性自我乳房檢查無助於降低女性乳癌的死亡率,專家指出,政府部門不應該再繼續把乳房自我檢查當成衛生教育重點;自我檢查是基本,還要加上定期上醫院檢查。兩者分頭並進,才是有效
防治措施。

乳房醫學會秘書長、台大外科醫師黃俊升指出,日前台北召開亞洲乳癌醫學會,醫師發表一項美國與上海醫界廿六萬名紡織廠工作婦女進行的十年追蹤報告發現,有自我檢查和沒有自我檢查的兩組人中,乳癌發現率、發現乳癌時的期數、乳癌死亡率等項目都沒有明顯差別。

 他指出,研究結果顯示自我乳房檢查不再值得政府大費周章宣導,是要把乳癌有關衛教提高到乳房健康認知與警覺的層次,並配合必要乳房攝影或超音波檢查,才是更有效的乳癌防治策略。

事實上,各界對於究竟婦女從幾歲開始、應接受何種檢查才適當的討論非常多,國民健康局去年委託台大、三總等醫學中心針對四十歲到四十九歲婦女比較X光攝影與超音波檢查,了解何者更有助於提高乳癌發現率,做為是否降低或修正現有篩檢計畫的參考。

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