触诊成像系统在乳腺疾病健康筛查中的应用研究

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.

The application of palpation imaging in the screening of breast disease

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.