CAJ | 학술논문

目的探讨触诊成像在女性乳腺疾病健康体检筛查的应用价值.方法北京协和医院体检中心2009年4月至2011年3月的女性体检者共计16 010例,选取其中外科查体异常或有乳腺病病史者共计5000例,受检者均接受触诊成像检查并对其诊断结果进行回顾性统计分析.结果接受触诊成像检查的5000名体检者中,未见异常799例,异常率84.02％;同期乳腺外科查体异常检出率73.59％.触诊成像系统诊断乳腺增生4019例(80.38％),乳腺结节150例(3.00％),可疑恶性病变32例(0.64％).乳腺结节和恶性病变主要集中在35～50岁年龄段.乳腺恶性疾病的发病年龄年轻化.2例争议性病例的病理随访结果支持触诊成像的诊断.结论将触诊成像检查应用于女性健康体检或妇女病普查中,对乳腺疾病早期发现、早期诊断、早期治疗有至关重要的作用.
목적 탐토촉진성상재녀성유선질병건강체검사사적응용개치.방법 북경협화의원체검중심2009년4월지2011년3월적녀성체검자공계16 010례,선취기중외과사체이상혹유유선병병사자공계5000례,수검자균접수촉진성상검사병대기진단결과진행회고성통계분석.결과 접수촉진성상검사적5000명체검자중,미견이상799례,이상솔84.02％;동기유선외과사체이상검출솔73.59％.촉진성상계통진단유선증생4019례(80.38％),유선결절150례(3.00％),가의악성병변32례(0.64％).유선결절화악성병변주요집중재35～50세년령단.유선악성질병적발병년령년경화.2례쟁의성병례적병리수방결과지지촉진성상적진단.결론 장촉진성상검사응용우녀성건강체검혹부녀병보사중,대유선질병조기발현、조기진단、조기치료유지관중요적작용.
Objective To assess the value of SureTouch tactile breast imaging (SureTouch) in early breast disease detection.Methods From April 2009 to March 2011,16 010 adults received health checkup in our center,5000 of whom took breast screening and were randonly selected to accept SureTouch.The results of the SureTouch were reviewed.Results In SureTouch,799 participants were normal,resulting in an abnormal rate of 84.02％.Four thousands and nineteen adults were found with breast hyperplasias (80.38％) and 150 with breast nodulars (3.00％),and another 32 women were suspected with malignant condition (0.64％).Breast hyperplasia was the most commonly seen disease in all age groups,although breast nodular and malignant changes were mainly found in 35-50 age group.The incidence of malignant disease showed a trend of affecting younger females.Pathological follow-up results of two controversial cases supported the diagnosis of SureTouch.Conclusions SureTouch shows high sensitivity in this study.The application of SureTouch in breast screening may play an important role in the early detection,diagnosis and treatment of breast diseases.