摘要
目的:探讨应用钼钯X线(MAM)、超声(US)组合BI-RADS分类法确定农村妇女乳腺癌普查年龄的可行性。方法:954例本地区农村妇女,年龄35～60岁,平均(47.5±5.8)岁。所有妇女均接受US和MAM检查并行BI-RADS分类,US+MAM组合分类结果为每例受检者US与MAM分类结果中的最高级别,US+MAM分类Ⅲ类以上结果判定为高危人群并随访。将954例农村妇女及所检出的高危妇女划分为35～40岁、41～50岁、51～60岁3个年龄段,计算高危妇女在其相应年龄段所占比率,统计学分析其差异。结果:44例农村妇女被组合BI-RADS分类法评价为高危妇女,其随访结果与BI-RADS要求相符,35～40岁、41～50岁、51～60岁3个年龄段高危妇女所占比率分别为8.21%、5.32%、1.70%,其差异有统计学意义(P<0.05)。结论:应用US+MAM组合法BI-RADS分类可准确判定农村妇女乳腺癌的普查年龄。
Objective： To identify feasibility of breast carcinoma screening age in countryside women with BI-RADS classifica-tion of mammography （MAM） and ultrasonography（US） combination. Methods： 954 local countryside women （range, 35-60 years） underwent breast screening with mammography （MAM） and ultrasonography （US）. The results were classified accord- ing to the breast imaging reporting and data system （BI-RADS）. Result of BI-RADS classification came from the highest score of MAM plus US classification. BI-RADS class III was regarded as high risk of breast carcinoma and follow-up. Women with high risk of breast carcinoma were divided into three groups of 35-40, 41-50, 51-60 according their age. High risk inci-dence of breast carcinoma in three groups were calculated and compared. Results： Among 954 screened countryside women, 44 women were found to be in high risk of breast carcinoma according to BI-RADS （US＋MAM combination） classification by methods and follow-up result accord with BI-RADS request. High risk incidence of breast carcinoma in three groups of 35%40, 41%50, 51% 60 years old women were 8.21%, 5.32%,1.70% respectively, with statistically significant differences （ P〈 0.05）. Conclusion： BI-RADS classification of mammography（MAM） and ultrasonography（US） combination could accurately i- dentify countryside women screening age of breast carcinoma.
出处
《中国中西医结合影像学杂志》
2012年第4期311-313,365,共4页
Chinese Imaging Journal of Integrated Traditional and Western Medicine
关键词
乳腺X线摄影术
超声检查
乳房
普查
mammography
uiltrasonography, mammary
mass screening
