目的 了解江门市人民医院女性乳腺异常和恶性结果。方法 收集2015—2020年江门市人民医院40 068例女性乳腺彩超检查资料,其中体检者13 638例,非体检者26 430例,分析不同年龄不同年份女性乳腺异常结果和恶性结果检出率。结果 非体检人群中异常结果5 631例,占21.31%;恶性结果(BI-RADS分级5级)220例,占0.83%;不同年龄女性乳腺异常结果检出率差异无统计学意义(χ²_趋势=2.837,P=0.092)。随年龄增长,女性乳腺恶性结果检出率呈上升趋势(χ²_趋势=319.091,P＜0.001);不同年份女性乳腺异常结果和恶性结果检出率均呈上升趋势(χ²_趋势=106.183,P＜0.001;χ²_趋势=12.181,P＜0.001)。体检人群中异常结果1 002例,恶性结果5例,体检人群异常结果和恶性结果检出率均显著低于非体检人群检出率(χ²=1 268.803,P＜0.001,χ²=102.009,P＜0.001)。结论 女性乳腺疾病筛查状况不容乐观,有待于进一步加强。

Objective To understand the abnormal and malignant results of female breast in the People’s Hospital of Jiangmen. Methods The color Doppler ultrasound examination data of 4 068 women in the People’s Hospital of Jiangmen from 2015 to 2020 were collected,including 13 638 physical examiners and 26 430 non physical examiners.The detection rates of abnormal and malignant breast results of women of different ages and years were analyzed. Results Among the non-physical examination population,there were 5 631 abnormal results,accounting for 21.31%,and 220 malignant results (BI-RADS grade 5),accounting for 0.83%.There was no significant relationship between abnormal results and age(χ²_trend=2.837,P=0.092),the detection rate of malignant results increased with age(χ²_trend=319.091,P＜0.001).The detection rates of abnormal and malignant results of female breast in different years showed an upward trend (χ²_trend=106.183,P＜0.001;χ²_trend=12.181,P＜0.001).There were 1 002 abnormal results and 5 malignant results in the physical examination group.The detection rates of abnormal results and malignant results in the physical examination group were all significantly lower than those in the non-physical examination group (χ²=1 268.803,P＜0.001,χ²=102.009,P＜0.001). Conclusion The screening status of female breast diseases in this region is not optimistic and needs to be further strengthened.