首页|合肥地区某医院743例体检妇女乳腺病变分析

合肥地区某医院743例体检妇女乳腺病变分析

Analysis of breast lesions in 743 women undergoing health check-ups at a hospital in Hefei area

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目的:探讨合肥地区适龄妇女体检乳腺X线摄影表现,为分类诊治提供思路.方法:选择合肥市22~87岁因乳腺超声提示BI-RADS 3类的体检女性743例,分析52岁以下(非老年组)及52岁以上(老年组)女性不同乳腺腺体类型及乳腺病变分类.结果:非老年组与老年组的腺体类型差别有统计学意义(P<0.05).非老年组乳腺X线摄影出现肿块76例(17.51%),出现钙化197例(45.39%),老年组出现肿块66例(21.36%),出现钙化179例(58.50%),二者肿块形态及边缘、钙化分布差异无统计学意义,而钙化形态差异有统计学意义(P<0.05),老年组出现中、高度恶性钙化的概率更高.两组的结构扭曲发生率差异无统计学意义,而不对称发生率差异有统计学意义(P<0.05).两组的乳腺病变分类差异无统计学意义(P>0.05).结论:由于乳腺腺体类型的差别,老年女性与非老年女性的乳腺X线检查查出钙化形态、腺体不对称有差异,针对不同年龄和乳腺腺体,观察重点需有区别.
Objective:To explore the mammographic findings of women of appropriate age undergoing health check-ups in Hefei area,providing insights for classification and treatment.Methods:A total of 743 women aged 22 to 87 years with breast ultrasound indicating BI-RADS category 3 were selected for analysis,focusing on the differences in breast tissue types and lesion classifications between those under 52 years(non-elderly group)and those over 52 years(elderly group).Results:There was a statistically significant difference in glandular types between the non-elderly and elderly groups(P<0.05).In the non-elderly group,mammography revealed masses in 76 cases(17.51%)and calcifications in 197 cases(45.39%).In contrast,the elderly group showed masses in 66 cases(21.36%)and calcifications in 179 cases(58.50%).The morphology and margins of masses as well as distribution patterns of calcifications did not show statistically significant differences;however,there was a significant difference regarding calcification morphology(P<0.05),with a higher probability of moderate to high-grade malignant calcifications observed among the elderly group.The incidence rates of structural distortion did not differ significantly between both groups;however,asymmetry occurrence rates exhibited statistical significance(P<0.05).No statistically significant differences were found concerning breast lesion classifications between both groups(P>0.05).Conclusion:Due to variations in breast tissue types,notable differences exist between elderly women and non-elderly women regarding mammographic findings related to calcification morphology and glandular asymmetry;thus,observation priorities should be tailored according to different ages and breast tissue characteristics.

breast typebreast lesionmammography

盛群、李兵

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合肥市妇幼保健院放射科 安徽 合肥 230001

乳腺类型 乳腺病变 X线摄影

2024

安徽医专学报
安徽医学高等专科学校

安徽医专学报

影响因子:0.441
ISSN:2097-0196
年,卷(期):2024.23(6)