首页|单中心11125名体检人群乳腺结节彩超筛查结果回顾性分析

单中心11125名体检人群乳腺结节彩超筛查结果回顾性分析

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目的:通过分析山东中医药大学附属医院近三年的女性乳腺彩超数据,总结乳腺结节的发生情况和特征.方法:回顾性分析 2020 年 8 月—2022 年 10 月于本院进行乳腺彩超检查的 11 125 名体检者的资料,结合乳腺彩超影像报告及乳腺影像报告和数据系统(BI-RADS)分类标准对乳腺结节分类、直径、数量、部位分布等进行统计分析.结果:(1)11 125 名体检者中,检查出有乳腺结节者 3 089 名,乳腺结节发生率为 27.77%.(2)随着年龄增加,4 类乳腺结节检出占比总体上呈上升趋势.不同年龄段乳腺结节 4、3、2 类比较,差异均有统计学意义(P<0.05).(3)根据BI-RADS分类标准,所有乳腺结节中,2 类 416 例(13.47%),3 类 2 506 例(81.13%),4 类 167 例(5.41%).(4)2、3、4 类乳腺结节均好发于 30~39 岁,40~49 岁次之.(5)不同个数乳腺结节的年龄段、BI-RADS分类比较,差异均有统计学意义(P<0.05);1、2 个乳腺结节分布年龄段主要在 30~39 岁,3 个及以上乳腺结节分布年龄段主要在 40~49 岁;不同个数乳腺结节BI-RADS分类均以 3 类为主,2 类次之.(6)不同直径乳腺结节的年龄段、BI-RADS分类比较,差异均有统计学意义(P<0.05);各年龄段(除≤29 岁)乳腺结节直径均以≤20 mm为主;4、3 类乳腺结节直径以>5 mm且≤20 mm为主,2 类乳腺结节直径以≤5 mm为主.(7)≥60 岁体检者 4c类乳腺结节占比最高;乳腺结节好发部位在左乳,分布象限以外上象限为主.结论:乳腺结节好发于 30~49 岁,在≥50 岁人群中,4 类结节发生率较高,应及时进行乳腺相关检查,另外,女性应当注意对乳腺外上象限部位的自我筛查.
Retrospective Analysis of Color Doppler Ultrasound Screening Results of Breast Nodules in 11,125 Physical Examination People in A Single Center
Objective:To analyse the data of female breast color Doppler ultrasound in Affiliated Hospital of Shandong University of Traditional Chinese Medicine in recent three years,and to summarize the occurrence and characteristics of breast nodules.Method:The data of 11,125 physical examination people who underwent breast color Doppler ultrasonography in our hospital from August 2020 to October 2022 were retrospectively analyzed,and the classification,diameter,number and location distribution of breast nodules were statistically analyzed by breast color Doppler ultrasound image reports and breast imaging reporting and data system(BI-RADS)classification criteria.Result:(1)Among 11,125 physical examination people,3,089 were found to have breast nodules,and the incidence of breast nodules was 27.77%.(2)With the increase of age,the detection proportion of categories 4 of breast nodules showed an overall upward trend.There were statistically significant differences in categories 4,3 and 2 of breast nodules in different age groups(P<0.05).(3)According to the BI-RADS classification criteria,there were 416 cases(13.47%)in category 2,506 cases(81.13%)in category 3,and 167 cases(5.41%)in category 4 of all breast nodules.(4)Category 2,3 and 4 of breast nodules were most common in 30-39 years old,followed by 40-49 years old.(5)There were statistically significant differences in age and BI-RADS classification of different numbers of breast nodules(P<0.05).The distribution age of 1 and 2 breast nodules were mainly 30-39 years old,and the distribution age of 3 or more breast nodules was mainly 40-49 years old.The classification of BI-RADS of different numbers of breast nodules was mainly in category 3,followed by category 2.(6)The age and BI-RADS classification of breast nodules with different diameters were statistically significant(P<0.05).The diameter of breast nodules at all ages(except≤29 years old)was mainly≤20 mm,the diameter of category 3 of breast nodules is mainly>5 mm and≤20 mm,and the diameter of category 3 of breast nodules is mainly≤5 mm.(7)The proportion of category 4c of breast nodules in people≥60 years old was the highest.The most common site of breast nodules was in the left breast,and the distribution quadrant was mainly in the outer upper quadrant.Conclusion:Breast nodules tend to occur 30-49 years old,and the incidence of category 4 of breast nodules is higher in people≥50 years old,so breast related examinations should be carried out in time.In addition,women should pay attention to self-screening of the outer upper quadrant of the breast.

Breast nodulesColor doppler ultrasoundPhysical examinationBI-RADS

李昊钰、王蕾、蔡碧娥、李静蔚

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山东中医药大学中医学院 山东 济南 250014

山东中医药大学附属医院乳腺甲状腺外科 山东 济南 250014

山东中医药大学附属医院治未病中心 山东 济南 250014

乳腺结节 彩超 体检 乳腺影像报告和数据系统

山东省医药卫生科技发展计划项目

202104080463

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(22)