摘要合理有效的乳腺癌筛查可以早期诊断乳腺癌,提高治愈率,延长患者生存期并提高患者生活质量.我国在乳腺癌筛查上已做出初步的探索和尝试,但在机会性筛查比例、筛查对象的选择、筛查手段及频率的选择及筛查结果的判断方面仍有许多未能解决的问题.本文详细分析阐述上述问题,并在新研究结果、新技术手段不断出现及人工智能飞速发展的背景下,从临床工作实践的体会出发,提出优化我国乳腺癌筛查策略与实施效果的思考与建议,即因地制宜、因人而异、精准筛查、宣讲教育、医保覆盖、质量控制、技术支持及人工智能.

abstractsReasonable and effective breast cancer screening can make early diagnosis of breast cancer, improve the cure rate, prolong survival and improve the patients′ quality of life. China has made preliminary exploration and attempt in breast cancer screening, however, there are still some problems that have not been solved in terms of the proportion of opportunistic screening, the selection of screening targets, methods and frequency, and the judgment of screening results. Therefore, this article analyzes the above problems in details, and presents some thoughts and recommendations on how to optimize the breast cancer screening strategies and implementation effects in China, from the experience of clinical practice, under the background of constantly emerging new research results and techniques and the rapid development of artificial intelligence, that is, to adjust measures to local conditions, provide personalized strategies, achieve precise screening, preach and educate, ensure health insurance coverage, improve quality control, offer technical support and employ artificial intelligence.