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目的:探讨计算机乳腺摄影对30～39岁年龄组妇女早期乳腺癌的诊断价值。方法:应用意大利IMS公司生产的Giotto高频钼靶乳腺机和日本富士公司的CR系统对30～39岁年龄组妇女进行计算机乳腺摄影检查,回顾性分析由计算机乳腺摄影检出的乳腺癌和摄影发现异常继而活检的病理结果,并与同期40～49岁年龄组妇女计算机乳腺摄影及活检病理结果相对照。对127例手术病理证实的30～39岁年龄组妇女普通钼靶乳腺片及计算机乳腺摄影片采用双盲法进行对比研究。结果:对1020例30～39岁年龄组妇女进行计算机乳腺摄影检查,检出乳腺癌104例,873例无恶性肿瘤征象,对12例摄影发现的可疑病变进行了立体定位穿刺活检,7例为乳腺癌,其中2例导管原位癌,其余5例为浸润性癌。普通钼靶乳腺摄影及计算机乳腺摄影对早期乳腺癌的诊断有显著差异(P<0.05),计算机乳腺摄影优于普通钼靶乳腺摄影。结论:对30～39岁年龄组妇女进行计算机乳腺摄影检查,是发现年轻女性早期乳腺癌的有效方法。
Objective: To investigate the diagnostic value of computerized mammography for early breast cancer in women aged 30-39 years. METHODS: Computerized mammography was performed on women aged 30-39 using the Giotto high-frequency molybdenum target mammary gland manufactured by IMS of Italy and the CR system of Fuji Japan. Retrospective analysis of breast cancer detected by computerized mammography and photography Abnormal findings were followed up with biopsy results and were compared with computerized mammography and biopsy findings in 40-49 age group women of the same age group. 127 cases of surgical pathology confirmed 30 to 39 age group of women common mammography breast and computerized mammography double-blind method for comparative study. Results: A total of 1020 women aged 30-39 years were examined by computerized mammography. 104 cases of breast cancer and 873 cases of non-malignant tumor were detected. 12 cases of suspicious lesions were detected by stereotactic biopsy, and 7 cases were Breast cancer, of which 2 cases of ductal carcinoma in situ, and the remaining 5 cases of invasive cancer. Ordinary mammography and computer mammography mammography in the diagnosis of early breast cancer have significant differences (P <0.05), computer mammography is superior to ordinary mammography mammography. Conclusion: The computerized mammography examination of women in the age group of 30-39 years is an effective method to find the early breast cancer in young women.