Application of mammography in breast cancer screening in 45-year-old women
乳腺钼靶摄片在≥45岁女性乳腺癌筛查中的应用分析

摘要

目的 探究≥45岁女性乳腺癌筛查中应用乳腺钼靶摄片的效果。方法 选择本院负责区域内进行乳腺癌筛查的女性（≥45岁）进行研究，筛查时间为2018年10月 到 2020年8月，共计筛查5216人。本院对纳入女性均采用乳腺钼靶摄片以及常规的超声方案筛查，并对疑似乳腺癌患者行病理活检，以病例活检结果为金标准，分析超声、乳腺钼靶摄片筛查的灵敏度、准确度、特异度。结果 经病理活检，疑似患者中确诊乳腺癌者86例、乳腺异常者853例。钼靶摄片筛查的灵敏度、准确度均高于超声诊断（P<0.05）。结论 在≥45岁女性乳腺癌筛查中，乳腺钼靶摄片诊断准确性高，建议作为女性乳腺癌筛查工作初诊方法。

Abstract

Objective: To explore the effect of breast molybdenum lens in breast cancer screening.
Methods: Women (45 years old) responsible for breast cancer screening in the region were screened from January 2020 to December 2021, including 5,216 people. The hospital used breast mammography and conventional ultrasound protocol screening for all the included women, and performed pathological biopsy for suspected breast cancer patients. Taking the case biopsy results as the gold standard, the sensitivity, accuracy and specificity of ultrasound and breast mammography screening were analyzed.
Results: After pathological biopsy, 86 suspected breast cancer and 853 suspected breast abnormal patients. The sensitivity and accuracy of molybdenum target film screening were higher than those of ultrasound diagnosis (P <0.05).
Conclusion  : In the 45-year-old female breast cancer screening method, it is recommended as the first female breast cancer screening method.