健康体检与管理2024，Vol.5Issue(4) ：341-347.

女性健康体检人群的乳腺结节BI-RADS分类及其特征分析

Analysis of BI-RADS Classification and Characteristics of Breast Nodules in Female Health Examination Population

祃红燕 闫焱 郭艳菊 周锋 张静
健康体检与管理2024，Vol.5Issue(4) ：341-347.
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  • 维普
  • 万方数据

女性健康体检人群的乳腺结节BI-RADS分类及其特征分析

Analysis of BI-RADS Classification and Characteristics of Breast Nodules in Female Health Examination Population

祃红燕 1闫焱 1郭艳菊 1周锋 1张静1
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作者信息

  • 1. 首都医科大学电力教学医院,北京 100073
  • 折叠

摘要

目的:通过女性体检者乳腺超声检查结果,了解体检人群中乳腺结节的检出率、BI-RADS分类及相关特征的分布.方法:收集2022年全年在我中心参与体检的31 241例女性体检者的乳腺超声检查结果,对诊断结果进行字段提取、资料的整合后,分析乳腺结节的BI-RADS分类、位于单双侧、单发多发及大小、发生位置等进行分析.结果:女性乳腺超声检出乳腺结节率为33.4%.有结节女性的平均年龄(45.7±14.9岁)高于无结节者(43.7±12.2岁)(P＜0.05),乳腺癌高风险者的平均年龄高于良性乳腺疾病者.BI-RADS 4/5类的检出率为2.9%,随年龄增长,BI-RADS 4/5类乳腺结节比例逐渐上升,尤其是50岁,上升幅度较为明显.不同BI-RADS分类的乳腺结节,其单双侧的分布构成、单发或多发的分布构成均是不同的(P＜0.05).相较于良性乳腺疾病,乳腺癌高风险结节多发的比例相对较高.BI-RADS 4/5类结节最长径大于BI-RADS 2/3类结节(P＜0.05).良性乳腺疾病和乳腺癌高风险的乳腺结节在(P=0.420),均主要集中在外上象限(40%～50%).不同乳腺结节BI-RADS分类的女性,其低密度脂蛋白胆固醇、甘油三酯、总胆固醇、空腹血糖、血管收缩压和舒张压水平的差异有统计学意义(P＜0.05).结论:不同BI-RADS分类的乳腺结节在年龄、单双侧、单发或多发及大小方面分布构成、血脂、血糖、血压各有差异,良恶性结节各象限分布情况类似;重视乳腺结节分类情况,关注恶性肿瘤的早期筛查,尽早发现重大疾病线索和高危状态.

Abstract

Objective:To investigate the detection rate of breast nodules,BI-RADS classification and related characteristics in a cohort of female medical examination participants.Methods:From all medical examination records in our center in 2022,we collected breast ultrasound examination results for 31 241 patients.The breast ultrasound examination results were integrated and field-extracted to analyze the BI-RADS classification of breast nodules,the location of single and bilateral,single and multiple occurrences,and the size and location.Results:The detection rate of breast nodules by ultrasound in women was 33.4%.The average age of women with nodules(45.7±14.9)years was higher than that of women without nodules(43.7±12.2)years(P＜0.05).The average age of women at high risk of breast cancer was higher than that of women with benign breast disease.The detection rate of BI-RADS 4/5 was 2.9%.With increasing age,the proportion of BI-RADS 4/5 nodules gradually increased,especially at 50 years old,with a more significant increase.The distribution of single and bilateral breast nodules and the distribution of single and multiple occurrences were different in different BI-RADS classification(P＜0.05).Compared with benign breast disease,the proportion of multiple occurrences in high-risk breast cancer nodules was relatively high.The longest diameter of BI-RADS 4/5 nodules was greater than that of BI-RADS 2/3 nodules(P＜0.05).The distribution of benign breast disease and high-risk breast cancer was similar in each quadrant(P=0.420),mainly concentrated in the upper outer quadrant(40%-50%).For women with different BI-RADS grades of breast nodules,there were significant differences in levels of low-density lipoprotein cholesterol,triglycerides,total cholesterol,blood glucose and blood pressure.Conclusion:There are differences in the distribution of breast nodules in different BI-RADS classification in terms of age,single and bilateral,single,multiple occurrences and size,blood lipids,blood glucose and blood pressure.The distribution of benign and malignant nodules is similar in each quadrant.It is important to pay attention to the classification of breast nodules and focus on early screening for malignancies to identify potential cases of significant diseases and high-risk states as soon as possible.

关键词

乳腺结节/BI-RADS分类/健康体检

Key words

Breast nodules/BI-RADS classification/Physical examination

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出版年

2024
健康体检与管理
中国医院协会

健康体检与管理

ISSN：2096-9449
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