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目的探讨多层螺旋CT扫描对乳腺癌早期诊断的价值,分析影响乳腺癌早期防治的因素。方法选取2015年3月至2016年4月间上海嘉会国际医院收治的189例术前行多层螺旋CT检查的乳腺癌患者,比较螺旋CT扫描与病理检查诊断结果的符合率。采用单因素分析和多元Logistic回归分析方法,分析乳腺癌早期防治的相关因素。结果螺旋CT扫描与病理检查诊断结果的符合率为93.1%。收入水平、婚姻情况、文化程度、家族史及乳腺疾病史是影响乳腺癌早期防治的因素,差异均有统计学意义(均P<0.01),而年龄、性行为状态、生育次数及吸烟饮酒史与乳腺癌患者早期防治关系不大,差异无统计学意义(P>0.05)。影响乳腺癌早期防治的独立危险因素为乳腺疾病史、家族史、文化程度和收入水平,且危险程度依次降低。结论 CT扫描在乳腺癌的早期诊断中,有较高的准确率,家族史、乳腺疾病史、收入情况与文化程度是影响乳腺癌早期防治的独立危险因素。
Objective To investigate the value of multi-slice spiral CT in the early diagnosis of breast cancer and to analyze the factors influencing the early prevention and treatment of breast cancer. Methods From March 2015 to April 2016, 189 cases of breast cancer who underwent multislice spiral CT examination in Shanghai Jiahui International Hospital were enrolled. The coincidence rates of spiral CT scan and pathological examination were compared. Univariate analysis and multivariate logistic regression analysis were used to analyze the related factors of early prevention and treatment of breast cancer. Results The coincidence rate of spiral CT scan and pathological examination was 93.1%. The level of income, marital status, education level, family history and the history of breast disease are the factors influencing the early prevention and treatment of breast cancer, the differences were statistically significant (all P <0.01), while the age, sexual behavior, number of births and smoking history There was no significant difference between early prevention and treatment of breast cancer patients (P> 0.05). The independent risk factors influencing the early prevention and treatment of breast cancer were the history of breast disease, family history, educational level and income level, and the degree of risk decreased in turn. Conclusion CT scan has high accuracy rate, family history, history of breast disease, income status and education level in early diagnosis of breast cancer as independent risk factors affecting early prevention and treatment of breast cancer.