Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University, Taipei, Taiwan.
Eur J Obstet Gynecol Reprod Biol. 2011 Jul;157(1):89-93. doi: 10.1016/j.ejogrb.2011.02.010. Epub 2011 Mar 25.
We evaluated compliance with mammography and breast sonography and the factors related to compliance.
From August 2005 through July 2006, 1239 asymptomatic women, aged 40-49 years, were enrolled in the study. Compliance in the second year was calculated. Telephone interviews examined the impact of the women's experience during mammography or sonography on adherence to rescreening.
The rates of compliance with mammography and sonography for breast cancer screening were 73.5% and 80.1%, respectively (p=0.006). More women receiving mammography (12.2%) reported unsatisfactory results (BI-RADS category 0) than those undergoing sonography (6.2%) (p<0.001). During the telephone interview, 74.9% of the women complained of pain during mammography, but none (0%) during sonography (p<0.001); 69.8% felt embarrassed during mammography and 55.6% during sonography (p<0.001). Multivariate logistic regression analysis showed that pain (OR 0.096, 95% CI 0.044-0.213) and unsatisfactory examination results (BI-RADS category 0) (OR 0.042, 95% CI 0.020-0.090) were barriers to not following up mammography. Embarrassment (OR 0.645, 95% CI 0.419-0.994) and unsatisfactory examination results (OR 0.169, 95% CI 0.085-0.336) were barriers to not following up sonography.
For young Asian women with dense breast tissue, compliance with sonography for breast cancer screening was better than that with mammography.
评估乳房 X 线摄影和超声检查的依从性以及与依从性相关的因素。
2005 年 8 月至 2006 年 7 月，共纳入 1239 名 40-49 岁无症状女性。计算第二年的依从率。通过电话访谈，调查女性在乳房 X 线摄影或超声检查期间的经历对接受重新筛查的影响。
乳腺癌筛查的乳房 X 线摄影和超声检查依从率分别为 73.5%和 80.1%（p=0.006）。接受乳房 X 线摄影的女性中（12.2%）报告不满意结果（BI-RADS 0 类）的比例高于接受超声检查的女性（6.2%）（p<0.001）。在电话访谈中，74.9%的女性报告在乳房 X 线摄影时感到疼痛，但在超声检查时没有（0%）感到疼痛（p<0.001）；69.8%的女性在乳房 X 线摄影时感到尴尬，55.6%的女性在超声检查时感到尴尬（p<0.001）。多变量逻辑回归分析显示，疼痛（OR 0.096，95%CI 0.044-0.213）和不满意的检查结果（BI-RADS 0 类）（OR 0.042，95%CI 0.020-0.090）是不进行乳房 X 线摄影随访的障碍。尴尬（OR 0.645，95%CI 0.419-0.994）和不满意的检查结果（OR 0.169，95%CI 0.085-0.336）是不进行超声检查随访的障碍。
对于亚洲年轻女性，致密乳腺组织患者乳房 X 线摄影筛查的依从性优于超声检查。
