摘要
目的通过对两种乳腺筛查策略的对比研究,探索更佳的乳腺癌筛查策略,提高乳腺癌早诊率。方法将2012年4月至2013年4月来我院做乳腺癌筛查的364位妇女随机分为A组和B组,各182位。A组采用策略为先进行乳腺体检,发现可疑者、高危人群即加以乳腺彩超检查,彩超检查证实可疑、阳性者,加以钼靶X-线检查;B组采用策略为先乳腺体检和乳腺彩超检查,在上述两种检查的基础上,对可疑者和高危人群进行钼靶X-线检查。对比两组肿物检出率、肿物阳性检出率及最后确诊率。结果 B组肿块检出率、阳性检出率、最后确诊率均显著高于A组,且均具有统计学意义(P<0.05)。结论彩超检查、乳腺体检同时进行,可疑者和高危人群进行钼靶X-线检查可提升乳腺癌诊查准确率,此筛查策略可以用于推广。
Objective To explore a better screening strategy for breast cancer to improve early diagnosis rate of the disease with comparative research on the two given strategies. Methods 364 women who came to our hospital for breast cancer screening from April 2012 to April 2013 were divided into Group A and Group B randomly with 182 women in each group. The strategy for Group A was as follows. Firstly,patients received breast examination. If a patient was suspected of breast cancer after examination,then color Doppler ultrasound（ CDFI） was used for further diagnosis; if she was still positive,molybdenum target X- ray was used to check.And the strategy for Group B was designed like this： both breast examination and CDFI were used for patients. If a patient was positive in the above two checkups,molybdenum target X- ray would be carried out. The breast masses detection rate,breast masses positive detection rate,and final diagnosis rate of the two groups were compared. Results The breast masses detection rate,breast masses positive detection rate,and final diagnosis rate of Group B were higher than those of Group A,which were all statistically significant（ P〈0. 05）. Conclusion Molybdenum target X- ray for patients with suspected breast cancer after breast examination and CDFI which are both carried out at the same time can raise the definitive diagnosis rate of breast cancer,worthy to be popularized.
出处
《辽宁医学院学报》
CAS
2015年第2期84-85,共2页
Journal of Liaoning Medical University (LNMU) Bimonthly
基金
乐清市科技项目资助
编号:2012Y033
关键词
乳腺癌
筛查策略
彩超
钼靶X-线
breast cancer
screening strategy
color Doppler ultrasound
molybdenum target X-ray
