摘要
乳腺癌是危害全世界女性健康最常见的恶性肿瘤。乳腺癌筛查是公认的能够有效提高女性乳腺癌生存率的主要方法。目前国内外常用的乳腺癌筛查手段包括乳房X线摄影术(钼靶X线摄影)、超声成像、临床乳腺检查和磁共振成像等。本文对这些筛查手段的优缺点进行了比较,并对基于这些手段建立的不同筛查方案在人群中的应用效果和卫生经济学评价进行综述,以期为建立符合中国国情的具有成本-效果的女性乳腺癌筛查策略提供参考和依据。
Breast cancer is the most common malignancy in women around the world. Breast cancer screening has been recognized as the primary approach to effectively improve the survival of female breast cancer. The most commonly used methods for breast cancer screening in China and other countries include mammography (MAM), ultrasonography (US), clinical breast examination (CBE) and magnetic resonance imaging (MRI). This paper summarizes the advantages and disadvantages of these screening techniques and reviewes the economic efficiency in health care of different screening techniques based on these examination approaches to provide some evidence for developing a breast cancer screening strategy with optimal cost-effectiveness for Chinese women.
出处
《肿瘤》
CAS
CSCD
北大核心
2012年第9期748-754,共7页
Tumor
基金
美国中华医学基金会资助项目(编号:CMB09-991)
关键词
乳腺肿瘤
多相筛查
卫生保健经济学
乳房X线摄影术
超声检查
乳房
磁共振成像
临床乳腺检查
Breast neoplasms; Multiphasic screening; Health care economics; Mammography; Ultrasonography, mammary; Magnetic resonance imaging; Clinical breast examination