摘要
目的分析石家庄市部分社区居民乳腺癌的检出率,加强乳腺癌的二级预防,明确早诊、早治的意义。方法选取2019年1月至2020年1月石家庄市区3个社区居民≥40岁女性进行筛查,采用乳腺癌危险因素评估问卷筛出高危人群,40~44岁高危女性先行乳腺超声检查,BI-RADSⅢ级以上(可疑阳性)者再行钼靶检查。>44岁者采用彩超联合钼靶检查,以BI-RADSⅣ级和Ⅴ级作为阳性结果。分析调查人群基本情况;调查人群乳腺癌筛查结果;比较高危人群特征与临床筛查结果;临床乳腺癌阳性筛查的多因素分析。结果参加问卷调查的3213人中1105例(34.39%)被筛查为高危,实际参加进一步临床检查有975例(30.35%)。其中932例行超声检查,BI-RADS 4A级31例(3.30%),BI-RADS 4B级8例(0.86%),BI-RADS 4C级3例(0.03%),BI-RADS 5级0例。钼靶检查798例,BI-RADS 4A级24例(3.00%),BI-RADS 4B级5例(0.06%),BI-RADS 4C级2例(0.02%),BI-RADS 5级0例。乳腺超声和钼靶均检查751例,两项检查均为阳性26例(3.50%),均为BI-RADS 4A级17例(2.30%),均为BI-RADS 4B级3例(0.40%),均为BI-RADS 4C级2例(0.30%),均为BI-RADS 5级0例。各阳性人员均推荐进一步检查,其中10例进行乳腺肿块活检,1例(0.01%)患者确诊为乳腺癌。经多因素分析,年龄40~59岁、饮酒习惯、精神压抑、乳腺癌家族史是影响临床乳腺癌阳性筛查结果的独立危险因素。结论石家庄市乳腺癌检出率较高,应广泛展开乳腺癌筛查工作,做到早预防、早诊治,以改善乳腺癌预后。
Objective To analyze the detection rate of breast cancer in some community residents of Shijiazhuang,strengthen the secondary prevention of breast cancer,and clarify the significance of early diagnosis and treatment.Methods Women aged≥40 years from 3 communities in Shijiazhuang were selected from January 2019 to January 2020 for screening.High-risk groups were screened with risk factors for breast cancer questionnaires.High-risk women of 40-44 years old were given breast ultrasound examination while those over 44 years old were given color ultrasound examination combined with mammography.BI-RADS grades IV and V were regarded as positive results.Analyzed the basic situation of the survey population;the results of breast cancer screening in the population were investigated;the characteristics of high-risk populations were compared with the results of clinical screening;the multi-factor analysis of clinical breast cancer positive screening was performed.Results Of the 3213 people enrolled in the survey,1105 cases(34.39%)were high-risk group,and 975 cases(30.35%)actually participated in further clinical examinations.Among 932 people examined by ultrasound,there were 31 people(3.30%)of BI-RADS grade 4A,8 cases(0.86%)of BI-RADS grade 4B,3 cases(0.03%)of BI-RADS grade 4C and 0 cases of BI-RADS grade 5.Among 798 patients undergoing mammography,there were 24 cases(3.00%)of BIRADS grade 4A,5 cases(0.06%)of BI-RADS grade 4B,2(0.02%)of BI-RADS grade 4C and 0 of BI-RADS grade 5.There were 751 people undergoing breast ultrasound and mammography,and results of 26 cases(3.50%)were positive in both examinations.There were 17 people(2.30%)of BIRADS grade 4A,3 cases(0.40%)of BI-RADS grade 4B,2 cases(0.30%)of BI-RADS grade 4C and 0 cases of BI-RADS grade 5.For people with positive results,further examination was recommended.10 of them underwent breast mass biopsy and 1 case(0.01%)was diagnosed with breast cancer.Multivariate analysis showed that age 40-59 years,drinking habits,mental depression and family history of breast cancer
作者
张娜
刘朝兴
ZHANG Na;LIU Chaoxing(Shijiazhuang People's Hospital,Shijiazhuang,Hebei,050000,China)
出处
《当代医学》
2021年第19期102-105,共4页
Contemporary Medicine
关键词
石家庄
乳腺癌
高危人群
筛查
危险因素
Shijiazhuang
Breast cancer
High-risk group
Screening
Risk factors
