不同年龄组乳腺超声分型与乳腺癌危险因素的相关性分析

Correlation between breast ultrasound typing and risk factors of breast cancer in different age groups

目的探究不同年龄组的乳腺超声分型情况与乳腺癌危险因素之间的相关性。方法 选择2017年1月至2018年12月本院行乳腺彩色多普勒超声检查的女性500例(其中2例检出乳腺癌)。均进行问卷调查收集受检者相关资料,统计并分析各年龄组乳腺超声分型结果及影响各年龄组的乳腺超声分型相关因素。结果 不同年龄组的各型乳腺超声类型比较,差异均有统计意义(均P<0.05);年龄<35岁组:导管型乳腺多见于年龄较小的未婚女性;混合型乳腺在情绪状态较好的女性多见;致密型乳腺多见于情绪抑郁者;不均质型乳腺与体质指数(BMI)存在相关性。年龄范围为35~55岁组:致密型乳腺与受检者抑郁情绪、无哺乳史、存在乳腺穿刺活检史等存在相关性不均质型乳腺多见于BMI≥28kg/m2女性。年龄≥55岁组:受检者乳腺超声的分型与受检者心理状况、BMI指数存在密切相关性。结论乳腺实质超声的分型与女性乳腺癌危险因素存在相关性,受检者乳腺超声的分型与受检者心理状况、BMI指数存在密切相关性。年龄范围为35~55岁女性乳腺超声分型受乳腺癌危险因素影响最多。通过乳腺超声检查能为女性乳腺的腺体组织以及乳腺癌风险相关性提供借鉴思路。

Objective To explore the correlation between breast ultrasound typing and breast cancer risk factors in different age groups. Methods Five hundred women (2 of whom were diagnosed with breast cancer) who underwent breast color doppler ultrasonography at our hospital from January, 2017 to December, 2018 were selected. The relevant data of all the subjects were collected by questionnaire survey. The results of breast ultrasound typing and the related factors affecting breast ultrasound typing in each age group were analyzed. Results There were statistical differences in the breast ultrasound types. In the over 35 years old group, most ductal type breast occurred the unmarried ones, mixed type in the ones with good emotion, and dense type in the depressed ones, and heterogeneous breast correlated with BMI. In the 35-55 years old group, dense breast correlated with ones’ emotion, breast feeding history, and aspiration biopsy, and most heterogeneous breast occurred in the ones with BMI ≥ 28 kg/m2. In the ≥ 55 years old group, the breast ultrasound type correlated with ones’ psychological status and BMI. Conclusion Breast ultrasound type correlates with female breast cancer risk factors, such as ones’ psychological status and BMI. parenchymal ultrasonography is correlated with risk factors of breast cancer in women, and breast ultrasonography is closely correlated with psychological status and BMI. 35 to 55 years old women have most risk factors affecting breast ultrasound type. Breast ultrasound examination can provide some references for female breast tissue and breast cancer risk correlation.