成都市2592例女性乳腺彩色多普勒筛查分析

Color Doppler Screening of 2 592 Cases of Female Breast in Chengdu

目的探讨成都市女性乳腺疾病(BD)流行病学地域特征。资料与方法采用整群分层随机抽样的方法,随机对成都市青羊区2592例女性进行乳腺高频彩色多普勒超声筛查,对超声结果与临床资料进行分析。结果女性乳腺单纯增生随年龄增加而减少,单纯包块以25～34岁组、35～44岁组及45～54岁组多见(F=0.89,P=0.21);单纯囊性扩张以≥55岁组多见(F=5.42,P<0.05)。双病变、多发病变在各年龄组差异无统计学意义(F=2.33,P>0.05)。本研究中3例确诊为恶性肿瘤,其中2例(66.7%)发生于围绝经期,1例发生于绝经后期。本组对象中教师患乳腺疾病的风险最高(OR1.15,P<0.01)。结论乳腺疾病的形态多样性与年龄不相关;围绝经期及绝经后女性是发生乳腺肿瘤的高危人群。成都地区教师乳腺疾病发生率较高。

Purpose To investigate the epidemiology of female breast disease in Chengdu.Materials and Methods A cluster stratified random sampling method was used in 2 592 women from Qingyang District,Chengdu City,and clinical data and results of high frequency color Doppler screening were statistically analyzed.Results1 Incidence of simple hyperplasia decreased with age,while the incidence of dual-lesion and multi-lesion in various age groups were not significantly different,suggesting that the diversity form of breast disease（BD） is not related to age.In this study,three cases of cancer were diagnosed,of which 2 cases（66.7%） occurred in perimenopausal women;1 case occurred in late menopause.Teachers showed highest risk of breast disease（OR 1.15,P 〈 0.01）.Conclusion The morphological diversity of breast disease is not age-related.Perimenopausal and postmenopausal women are at high risk of breast cancer.Teachers in Chengdu have higher incidence of breast disease.