健康体检人群乳腺疾病筛查结果分析  

Breast screening in health checkup population

作　　者：曾婷婷 张还珠[2] Zeng Tingting;Zhang Huanzhu(Department of Health Checkup,First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;Department of Oncology,First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院健康体检科,广东广州510120 [2]广州医科大学附属第一医院肿瘤内科,广东广州510120

出　　处：《广州医科大学学报》2020年第3期24-28,共5页Academic Journal of Guangzhou Medical University

基　　金：广州市科创委健康医疗协同创新重大专项(201704020224)。

摘　　要：目的:分析健康体检女性人群乳腺疾病患病现状,为乳腺疾病防治提供依据。方法:回顾性分析2013年1月至2017年12月在广州医科大学附属第一医院体检中心进行健康体检的28100例女性人群的乳腺疾病检出情况,并与乳腺超声联合乳腺钼靶X线片检查结果进行对比分析。结果:2013-2017年,女性健康体检人群乳腺疾病检出率呈逐年上升趋势。乳腺疾病总检出率为80.60%(22645/28100),以乳腺增生检出率(79.51%)最高。患病人群平均年龄(40.77±10.82)岁,非患病人群平均年龄(44.67±18.45)岁,两者比较,差异有统计学意义(P<0.05),其中31~50岁年龄段乳腺疾病的检出率最高。乳腺超声检查与钼靶X线片检查吻合度比较,差异无统计学意义(P>0.05)。结论:乳腺疾病检出率处于较高水平且呈逐年上升趋势,以乳腺增生为主。乳腺超声检查与乳腺钼靶X线片检查结果一致性较差。应定期开展乳腺疾病筛查,做到早诊早治。Objective:To investigate the current morbidity of breast diseases in females receiving health check-up,and to provide evidence for prevention and treatment of breast diseases.Methods:A retrospective analysis was performed on breast diseases detected among 28100 females who underwent physical examination at the Health Checkup Center,First Affiliated Hospital of Guangzhou Medical University between January 2013 and December 2017.The findings were compared between breast ultrasound and Mo-target mammography.Results:From 2013 to 2017,the detection yield of breast diseases among females who received health check-ups showed an increasing trend year on year.The total yield of breast diseases was 80.60%(22645/28100),dominated by breast hyperplasia(79.51%).The mean age of the affected patients was(40.77±10.82)years old,and that of the non-affected patients was(44.67±18.45)years old,with statistically significant difference(P<0.05).Specifically,the detection yield of breast diseases was the highest in the age group of 31-50 years.There was no statistically significant difference in the detection between breast ultrasound and Mo-target mammography(P>0.05).Conclusion:The detection yield of breast diseases shows a relatively high level and is increasing year on year,dominated by breast hyperplasia.Breast ultrasound and Mo-target mammography appear poorly inconsistent in the screening.It is recommendable that breast screening should be carried out on a regular basis for early diagnosis and treatment.

关 键 词：乳腺疾病 筛查 超声检查 X线片 

分 类 号：R737.9[医药卫生—肿瘤] R173[医药卫生—临床医学]