子宫肌瘤患者检查乳腺的临床意义

Clinical significance of examining the breast in hysteromyoma patients

目的 评价乳腺检查对子宫肌瘤患者防治乳腺疾病的意义。方法以自愿原则，对参加本院宫颈癌筛查项目中经超声诊断为子宫肌瘤患者458例（子宫肌瘤组）和子宫正常者498例（对照组），进行乳腺的物理检查及影像学检查，采用美国放射学会乳腺影像报告和数据系统（Breast Imaging Reporting and Data System，BI—RADS）判读结果，用SPSS15．0软件包对两组资料的患病率比较进行x^2检验，乳腺病变分级结果进行Mann—Whitney U检验。结果458例子宫肌瘤患者中，乳腺病患者117例，患病率为25．55％（117／458），而498例子宫正常的人群中，有乳腺肿块者55例，患病率为11．04％（55／498），两组之间差异有统计学意义（x^=34．01，P=0．000）。两组BI-RADS判读结果比较，差异有统计学意义（Z=5．94，P=0．000）。子宫肌瘤患者合并乳腺疾病者以30～49岁居多，各年龄组之间差异有统计学意义（Z=3．29，P=0．001）。结论子宫肌瘤患者定期检查乳腺对早发现、早诊治更多的乳腺良性或恶性疾病是非常必要的。

Objective To evaluate the clinical significance of breast examination in patients with hysteromyoma. Methods With the prerequesite of knowing the fact and volunteer, 458 cases of hysteromyoma diagnosed by ultrasound （the hysteromyoma group ） and 498 women with normal uterus （the control group） from the uterine cervix cancer screen in our hospital were given additional physical examination and imaging test. Breast Imaging Reporting and Data System （BI-RADS） was used to read and interpret the results. The data were analyzed with SPSS 15.0, and Chi-square test was used for the comparison of prevalence rate between the two groups. Mann-Whitney U test was used for the analysis of breast lesion grading results. Results In the hysteromyoma group, 117 cases （25. 55%） were found suffering from breast diseases, while 55 cases （11. 04%） in the control group had breast mass, with statistically significant difference between the two groups （X^2 =34.01, P=0. 000）. There was statistical difference in BI RADS results between the two groups（Z=- 5. 94, P= 0. 000）. The rate of breast diseases with hysteromyoma was higher in 30--49 year old population and the difference between variant age groups was statistically significant （Z=3.29, P=0. 001）. Conclusion Regular examination of the breast in hysteromyoma patients is important and necessary for early diagnosis and treatment of both benign and malignant breast diseases.