摘要
目的分析乳腺x线BI—RADS分类与临床触诊阴性乳腺病变危险因素之间的关系，提高触诊阴性乳腺癌的临床诊断率。方法按照1：1配对病例对照研究，采用问卷调查通过面对面交流收集乳腺疾病相关危险因素信息，乳腺x线BI—RADS分类3类及以上女性患者548例，及其配对BI—RADS分类3类以下女性患者544例，年龄、生活状况相匹配，根据两组流行病学问卷调查结果进行，检验及Logistic回归分析，分析BI—RADS分类与触诊阴性病变高危因素之间的相关性。结果乳腺x线BI—RADS分类3类及以上病例相关危险因素包括初产年龄I〉35岁（95％CI：1．079～4．01），既往有乳腺增生或不规律疼痛史，糖尿病史，以及长期受明显不良情绪（抑郁、紧张、焦虑、烦恼等）影响，对生活满意度评价差等均是与乳腺触诊阴性病变有关系的因素。结论乳腺x线BI—RADS分类3类及以上与初产年龄I〉35岁，既往有乳腺增生或不规律疼痛史，糖尿病史，长期受明显不良情绪（抑郁、紧张、焦虑、烦恼等），对生活满意度评价差等因素明显相关，具有上述危险因素的妇女应加强乳腺健康随诊、积极治疗。本研究为广泛开展乳腺癌防治工作提供了依据。
Objective To analyze the relationship of risk factors between breast X-ray BI-RADS grading and clinical nonpalpahle breast disease and, to improve the clinical diagnosis of nonpalpable breast cancer. Methods a case-control study, BI-RADS grade t〉 3 group as the experimental group 548 cases, others as control group 544 eases, were surveyed by questionnaire in two cases, the results were analyzed using the chi square test and Logistie regression analysis to analyze the correlation between BI-RADS classification and risk factors of nonpalpahle lesions. Results the age of first birth t〉35 age, history of breast hyperplasia, history of diabetes mellitus, negative emotions, life satisfaetion are the influence of negative palpation of breast lesions. Conclusions The BI-RADS grade 1〉 3 were significantly associated with these risk factors, women should strengthen the follow-up, active treatment. This study provided a basis for the development of breast cancer prevention and control.
出处
《国际外科学杂志》
2015年第12期823-826,共4页
International Journal of Surgery
关键词
乳腺肿瘤
高危因素
病例对照研究
分类
Breast neoplasms
Risk factors
Case- control study
Classification
