唐山地区773例妇女乳腺钼靶摄影普查结果分析

Outcome analysis of breast diseases screening in 773 women in Tangshan area

目的 分析唐山地区已婚妇女乳腺疾病发生状况,为该地区乳腺癌的早期预防提供依据.方法 对唐山地区773例已婚妇女进行乳腺钼靶摄影检查,对钼靶检查诊断为乳腺影像报告和数据系统（BI-RADS）分级3级以上的患者,建议行活组织检查或手术以得到病理诊断.结果 773例受检者中乳腺钼靶摄影诊断乳腺BI-RADS分级2级及以下482例（62.35％）,BI-RADS分级3级256例（33.12％）,BI-RADS分级4级33例（4.27％）,BI-RADS分级5级2例（0.26％）.不同年龄段间各BI-RADS分级乳腺疾病的分布差异有统计学意义（x2=17.90,P＜ 0.001）.35例经活组织检查或手术切除得到病理诊断,其中乳腺增生30例,乳腺纤维腺瘤3例,乳腺癌2例.结论 妇女乳腺钼靶摄影普查是乳腺疾病预防和早期发现的重要手段.

Objective To analysis the occurrence status of breast disease in married women in Tangshan area,and to provide basis for early prevention of breast cancer in this region.Methods 773 married women in Tangshan area were given mammography examination.The tissue biopsy or surgical treatment was recommended for patients with above grade 3 of breast imaging reporting and data system （BI-RADS） classification to obtain pathological diagnosis.Results In 773 women,482 cases （62.35 %） were diagnosed as BI-RADS grade 2 or below,256 cases （33.12 %） were BI-RADS grade 3,33 cases （4.27 %） were BI-RADS grade 4,2 cases （0.26 %） were BI-RADS grade 5.The distribution of each BI-RADS grade among different age group was statistically significant （x2 =17.90,P 〈 0.001）,35 cases got pathological diagnosis by biopsy or surgical treatment,including 30 cases of mammary gland hyperplasia,3 cases of breast fibroadenoma,and 2 cases of breast cancer.Conclusion Women＆#39;s mammography screening is important for the prevention and early detection of mammary gland diseases.