中山市妇女乳腺疾病检出率及影响因素分析  

Analysis on detection rate of breast diseases and influencing factors in women in Zhongshan city

作　　者：黄华勇[1] 王莹[1] 肖琳[1] 彭学鸣[1] 杨孜[1] 蔡春芳[1] 匡晓梅[1] 何坚庭[1] 杨彩梅[1] 林钰叶[1] 何一雄[1] 

机构地区：[1]广东省中山市博爱医院妇保科,528400

出　　处：《中国妇幼保健》2012年第33期5370-5372,共3页Maternal and Child Health Care of China

基　　金：广东省医学科研基金立项课题〔A2007743〕;中山市重大专项立项课题〔0113A004〕

摘　　要：目的:了解中山市妇女乳腺疾病的患病情况,探讨乳腺疾病的影响因素。方法:2006～2008年对中山市99140例妇女进行乳腺病普查,并进行问卷调查,包括一般情况、婚育史、乳腺疾病史、饮食生活习惯及母系乳腺癌家族史等。其中22 598例妇女进行了乳腺B超检查,采用SPSS 10.0统计软件进行分析。结果:普查99 140例,其中22 598例妇女进行了乳腺B超检查,B超筛查乳腺肿块疾病检出率为91.22%;包括乳腺肿块及未触及肿块的乳腺增生、乳头溢液等乳腺疾病总检出率为81.24%。乳腺疾病受年龄、绝经方式、绝经年龄、生育孩子个数以及乳腺疾病史等因素的影响。结论:通过乳腺触诊评分,评分3分以上的妇女再进行乳腺B超检查使得乳腺疾病检出率明显增高,大大降低了乳腺疾病筛查的成本。35岁以上中老年妇女、特别是手术绝经、绝经年龄晚的以及有乳腺疾病史妇女应作为重点的乳腺疾病筛查对象。生育孩子越多,乳腺疾病患病率越低。Objective：To understand the prevalence of female breast diseases in Zhongshan city,and explore the influencing factors of breast diseases.Methods：A total of 99 140 women received general investigation of breast diseases in Zhongshan city from 2006 to 2008,and questionnaire survey was conducted,the contents included general situations,history of marriage and pregnancy,history of breast diseases,dietary and living habits,and matrilineal family history of breast cancer.A total of 22 598 women underwent breast ultrasonography,SPSS 10.0 software was used for statistical analysis.Results：Among 99 140 women receiving general investigation,22 598 women underwent breast ultrasonography,the detection rate of breast masses by ultrasonography was 91.22%.The total detection rate of breast diseases（including breast masses,breast hyperplasia,nipple discharge,and so on） was 81.24%.The influencing factors of breast diseases included age,ways of menopause,menopausal age,number of delivery,and medical history of breast diseases.Conclusion：Breast ultrasonography conducted again in the women with breast palpation score more than three can significantly improve the detection rate of breast diseases,and reduce the cost of breast diseases screening.The women more than 35 years old,menopause because of surgery,older menopausal age,and having medical history of breast diseases should be regarded as key screening population of breast diseases;the incidence of breast diseases in the women with more children was low,there was a positive correlation.

关 键 词：乳腺疾病 疾病检出率 影响因素 

分 类 号：R655.8[医药卫生—外科学]