乳腺超声分型导管管径及腺体厚径改变与乳腺癌发生发展的相关性  

The Correlation between the Development of Breast Cancer and Change of Breast Ultrasound Type Catheter Diameter and Glandular Thickness Diameter

作　　者：李学刚[1,2] 孙圣荣[1] 

机构地区：[1]武汉大学人民医院,430000 [2]武汉大学人民医院汉川医院,432300

出　　处：《实用癌症杂志》2016年第1期128-130,共3页The Practical Journal of Cancer

摘　　要：目的探讨乳腺超声分型导管管径及腺体厚径的变化及其与乳腺癌发生、发展的关系。方法将86例确诊为乳腺癌的患者作为观察组,随机选取进行体检的健康女性86例作为对照组,对所有患者行超声探查分型,并探测乳腺导管内径以及乳腺厚径。结果 86例健康女性的超声乳腺导管管径以及腺体厚径探查中,导管型、混合型、致密型以及不均型的例数分别为8,44,28,6。通过对比我们发现乳腺导管管径类型以及腺体厚径与年龄有一定关系,导管型主要集中在年龄段30岁左右,而不均型则主要集中在年龄较大的个体,差异具有统计学意义(P<0.05);在各型管径大小上,各型进行两两比较,差异具有统计学意义(P<0.05)。86例健康女性的超声乳腺腺体厚径探查中,集中年龄较年轻的导管型乳腺腺体厚径比集中年龄较长的不均型腺体厚度要低,差异具有统计学意义(P<0.05);在各型腺体厚径大小上进行两两比较,导管型和致密型差异无统计学意义(P>0.05),其余各型差异具有统计学意义(P<0.05)。而观察组86例乳腺癌患者中,导管型、混合型、致密型、不均型的例数分别为4、37、34、11,且致密型和不均型两者的和为45例,占到总数的52.33%。而对照组中致密型和不均型两者的和为34例,占总数的39.53%,两者相比差异具统计学意义(P<0.05);且各型在对照组和观察组中的差异都具统计学意义(P<0.05)。致密型和不均型对乳腺癌的发生具有相对较高的危险系数。结论乳腺导管管径以及腺体厚径的变化与乳腺癌的发生、发展关系密切,不同的超声分型为乳腺疾病的诊断提供了依据。在所有超声分型中,致密型和不均型与乳腺癌的发生关系最为密切,应引起临床重视。Objective To investigate the correlation between the development of breast cancer and change of breast ultrasound type catheter diameter and and glandular thickness diameter. Methods 86 patients with breast cancer were randomly selected as the observation group,86 healthy patients who took the medical examination were as the control group,all patients received ultrasonography typing,and detection of breast duct diameter and breast glandular thickness diameter. Results In 86 healthy patients,breast ultrasound catheter diameter and glandular thickness diameter detection showed ductal type,mixed type,dense and irregular type were respectively 8,44,28,6 cases. By contrast,breast duct diameter and glandular thickness diameter had a certain relationship with age,and ductal type was mainly concentrated in patients about 30 years old,and irregular type was mainly concentrated in the older patients,there had significant difference（ P〈0. 05）,in various types of pipe diameter size,there had statistically significant difference（ P〈0. 05）. 86 healthy patients ultrasound breast glands thickness diameter detection showed that the glandular thickness diameter of younger patients with concentrated ductal type was lower than that of older patients with concentrated irregular type,there significant difference（ P〈0. 05）,in various types of glands thickness size,there had no significant d difference between ductal type and dense type（ P〉0. 05）,the rest types had significance statistical difference（ P〈0. 05）. In 86 cases of breast cancer patients of the observation group,ductal type,mixed type,dense type,irregular type were respectively 4,37,34,11 cases,and dense type and irregular type added to 45 cases,accounting for 52. 33% of the total. While in the control group,dense type and irregular type added to 34 cases,accounting for 39. 53% of the total,the difference between the2 groups was statistically significant（ P〈0. 05）,and the differences of various types between the 2 groups were statistically

关 键 词：乳腺癌 超声分型 导管管径 腺体厚径 

分 类 号：R737.9[医药卫生—肿瘤]