中华乳腺病杂志（电子版）
中華乳腺病雜誌（電子版）
중화유선병잡지（전자판）
CHINESE JOURNAL OF BREAST DISEASE(ELECTRONIC VERSION)
2009年
4期
419-423
,共5页
子宫肌瘤%超声检查%乳腺疾病
子宮肌瘤%超聲檢查%乳腺疾病
자궁기류%초성검사%유선질병
Hysteromyoma%Breast examination%Breast diseases
目的 评价乳腺检查对子宫肌瘤患者防治乳腺疾病的意义.方法 以自愿原则,对参加本院宫颈癌筛查项目中经超声诊断为子宫肌瘤患者458例(子宫肌瘤组)和子宫正常者498例(对照组),进行乳腺的物理检查及影像学检查,采用美国放射学会乳腺影像报告和数据系统(Breast Imaging Reporting and Data System,BI-RADS)判读结果,用SPSS 15.0 软件包对两组资料的患病率比较进行χ2检验,乳腺病变分级结果进行Mann-Whitney U检验.结果 458例子宫肌瘤患者中,乳腺病患者117例,患病率为25.55%(117/458),而498例子宫正常的人群中,有乳腺肿块者55例,患病率为11.04%(55/498),两组之间差异有统计学意义(χ2=34.01, P=0.000).两组BI-RADS判读结果比较,差异有统计学意义(Z=-5.94, P=0.000).子宫肌瘤患者合并乳腺疾病者以30～49岁居多,各年龄组之间差异有统计学意义(Z=-3.29, P=0.001).结论 子宫肌瘤患者定期检查乳腺对早发现、早诊治更多的乳腺良性或恶性疾病是非常必要的.
目的 評價乳腺檢查對子宮肌瘤患者防治乳腺疾病的意義.方法 以自願原則,對參加本院宮頸癌篩查項目中經超聲診斷為子宮肌瘤患者458例(子宮肌瘤組)和子宮正常者498例(對照組),進行乳腺的物理檢查及影像學檢查,採用美國放射學會乳腺影像報告和數據繫統(Breast Imaging Reporting and Data System,BI-RADS)判讀結果,用SPSS 15.0 軟件包對兩組資料的患病率比較進行χ2檢驗,乳腺病變分級結果進行Mann-Whitney U檢驗.結果 458例子宮肌瘤患者中,乳腺病患者117例,患病率為25.55%(117/458),而498例子宮正常的人群中,有乳腺腫塊者55例,患病率為11.04%(55/498),兩組之間差異有統計學意義(χ2=34.01, P=0.000).兩組BI-RADS判讀結果比較,差異有統計學意義(Z=-5.94, P=0.000).子宮肌瘤患者閤併乳腺疾病者以30～49歲居多,各年齡組之間差異有統計學意義(Z=-3.29, P=0.001).結論 子宮肌瘤患者定期檢查乳腺對早髮現、早診治更多的乳腺良性或噁性疾病是非常必要的.
목적 평개유선검사대자궁기류환자방치유선질병적의의.방법 이자원원칙,대삼가본원궁경암사사항목중경초성진단위자궁기류환자458례(자궁기류조)화자궁정상자498례(대조조),진행유선적물리검사급영상학검사,채용미국방사학회유선영상보고화수거계통(Breast Imaging Reporting and Data System,BI-RADS)판독결과,용SPSS 15.0 연건포대량조자료적환병솔비교진행χ2검험,유선병변분급결과진행Mann-Whitney U검험.결과 458례자궁기류환자중,유선병환자117례,환병솔위25.55%(117/458),이498례자궁정상적인군중,유유선종괴자55례,환병솔위11.04%(55/498),량조지간차이유통계학의의(χ2=34.01, P=0.000).량조BI-RADS판독결과비교,차이유통계학의의(Z=-5.94, P=0.000).자궁기류환자합병유선질병자이30～49세거다,각년령조지간차이유통계학의의(Z=-3.29, P=0.001).결론 자궁기류환자정기검사유선대조발현、조진치경다적유선량성혹악성질병시비상필요적.
Objective To evaluate the clinical significance of breast examination in patients with hysteromyoma. Methods With the prerequesite of knowing the fact and volunteer, 458 cases of hysteromyoma diagnosed by ultrasound (the hysteromyoma group ) and 498 women with normal uterus (the control group) from the uterine cervix cancer screen in our hospital were given additional physical examination and imaging test. Breast Imaging Reporting and Data System (BI-RADS) was used to read and interpret the
results. The data were analyzed with SPSS 15.0, and Chi-square test was used for the comparison of prevalence rate between the two groups.Mann-Whitney U test was used for the analysis of breast lesion grading results.Results In the hysteromyoma group, 117 cases (25.55％) were found suffering from breast diseases, while 55 cases (11.04％) in the control group had breast mass, with statistically significant difference
between the two groups (χ2=34.01, P=0.000). There was statistical difference in BI-RADS results between the two groups(Z=-5.94, P=0.0000. The rate of breast diseases with hysteromyoma was higher in 30-49 year old population and the difference between variant age groups was statistically significant (Z=-3.29, P=0.001).Conclusion Regular examination of the breast in hysteromyoma patients is important and necessary for early diagnosis and treatment of both benign and malignant breast diseases.
