子宫或卵巢切除术后女性乳腺的超声分型及其与年龄的相关性

Analysis of female breast ultrasound classification after hystero-ovariotomy and its correlation with age

目的探讨子宫或卵巢切除术后女性的乳腺实质超声分型,分析其与年龄的相关性。方法选取我院98例行子宫或卵巢切除术后患者(观察组,共196侧乳腺)和102例同期年龄相匹配的健康体检女性(对照组,其204侧乳腺)均行超声检查,并根据乳腺实质结构的超声表现进行分型,分析其超声分型与年龄的相关性。结果对照组发现腺体型21侧(5.3%),腺纤维Ⅰ型59侧(14.6%),腺纤维Ⅱ型93侧(23.3%),脂肪型31侧(7.8%);观察组发现腺体型24侧(6.0%),腺纤维Ⅰ型64侧(16.0%),腺纤维Ⅱ型86侧(21.5%),脂肪型22侧(5.5%)。观察组中腺体型、腺纤维Ⅰ型检出率与年龄增长均呈负相关(r=-0.534、-0.587,P=0.041、0.037);腺纤维Ⅱ型、脂肪型与年龄增长均呈正相关(r=0.248、0.116,P=0.027、0.044)。腺纤维Ⅰ型乳腺检出率50岁前相对稳定,50岁后检出率下降;腺纤维Ⅱ型乳腺检出率50~59岁达到峰值,60岁后检出率下降。各年龄各超声分型的检出率比较差异均无统计学意义。结论子宫或卵巢切除术后女性的乳腺超声分型与其年龄密切相关。

Objective To explore the female breast ultrasound classification after hystero-ovariotomy,and to analyze the correlation between age and breast classification.Methods Ninety-eight patients after hystero-ovariotomy in our hospital（196 breasts） were performed on ultrasonography（observation group） and 102 cases of healthy female were selected as the control group were enrolled,the subjects were classified according to the structure of breast parenchyma under ultrasound images,and to analyze the correlation between type and age.Results The control group found 21 side gland type（5.3%）,type 59 side gland fiber （14.6%）,93 type Ⅱ side gland fiber（23.3%）,fat type 31 side（7.8%）.The observation group found glandular type 24 side （6.0%）,type 64 side gland fiber（16.0%）,typeⅡfiber gland 86 sides（21.5%）,fat type 22 side（5.5%）.There was a negative correlation between age and the rate of adenoid type and the detection rate of adenoid typeⅠ（r=-0.534,-0.587,P=0.041, 0.037） in observation group,and there was a positive correlation between the age and typeⅡfiber and fat type（r=0.248,0.116,P=0.027, 0.044）.By the age of 50 type breast gland fiber detection rate and relatively stable,and the detection rate of decline after the age of 50.TypeⅡbreast gland fiber detection rate at the age of 60,and proportional to age,50 to 59 years of age the detection rate reached the peak after the age of 60,the annual rate of decline.Conclusion Femal breast ultrasound classification after hystero-ovariotomy is closely related to their age.