BI―RADS分级用于乳腺癌筛查价值探讨.docVIP

BI―RADS分级用于乳腺癌筛查价值探讨 　　[摘要] 目的 探讨BI-RADS分级用于乳腺癌筛查价值。方法 回顾性分析近年来于该院行乳腺检查患者1 642例BI-RADS分级资料和158例行手术治疗患者术后病理活检诊断结果与BI-RADS分级之间相关因素。结果 全部1 642例行乳腺检查患者中158例接受手术切除治疗，术后病理活检确诊良性病变94例，恶性病变64例；其中BI-RADS分级4级患者中接受手术治疗35例，确诊恶性病变25例，诊断符合率为71.43%；BI-RADS分级5级患者中接受手术治疗40例，确诊恶性病变39例，诊断符合率为97.50%；BI-RADS分级5级确诊乳腺癌符合率显著高于BI-RADS分级4级，差异有统计学意义（P0.05）。结论 BI-RADS分级辅助用于乳腺癌筛查，高级别患者罹患乳腺癌风险显著增加。 　　[关键词] BI-RADS；乳腺癌；筛查 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0181-02 　　[Abstract] Objective To investigate the clinical value of BI-RADS classification for breast cancer screening. Methods The BI-RADS classification data of 1642 patients who took breast examination in our hospital in recent years， and correlation between the result of postsurgical pathologic diagnoses and BI-RADS classification of 158 patients who received surgical treatment， were retrospectively analyzed. Results Among the 158 patient included in the 1642 patients who took breast examination who received surgical treatment， 94 patients were confirmed with benign lesions and 64 with malignant lesions according to the result of postsurgical pathologic diagnoses. 25 patients of 35 patients who were in BI-RADS category of 4 and received surgical treatment were confirmed with malignant lesions， and the diagnosis coincidence rate was 71.43%； 39 patients of 40 patients who were in BI-RADS category of 5 and received surgical treatment were confirmed with malignant lesions， and the diagnosis coincidence rate was 97.50%， and the diagnosis coincidence rate of patients in BI-RADS category of 5 was significantly higher than those in BI-RADS category of 4， and the difference was statistically significant.（P0.05）. Conclusion BI-RADS classification for breast cancer screening can efficiently improve the diagnosis accuracy and risk of breast cancer increases with the rise of BI-RADS category. 　　[Key words] BI-RADS； Breast cancer； Screening 　　流行病学研究显示，乳腺癌发病率已居我国女性恶性肿瘤首位，且发病年龄呈下降趋势，给家庭和社会带来极大负担[1-2]。如何有效提高癌筛查准确率，实现乳腺癌早期诊断治疗越来越受