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目的探讨门诊乳腺手术术前诊断方法以及乳腺疾病尤其是乳腺癌预防诊断和治疗中应注意的问题。方法回顾2005年11月1日至2006年10月31日我院门诊手术室乳腺肿块切除手术共计403例,列表加以统计分析,并对其中最多见的病种与年龄的相关性进行统计分析。结果在门诊乳腺手术中,40岁以下占大多数,为80.67%,最常见的是乳腺纤维瘤(71.96%)和乳腺腺病(14.39%),同时乳腺囊肿病(6.70%)亦不少见,还有部分为乳腺癌(3.22%)。相关性分析后发现乳腺纤维瘤、乳腺腺病、乳腺囊肿以及乳腺癌与年龄具有较强相关性。结论门诊乳腺手术以40岁以下女性为多见,主要是乳腺纤维瘤,亦有部分乳腺癌以及癌前病变的存在,不容忽视。提高乳腺疾病尤其是乳腺癌的诊断水平对于乳腺癌的防治至关重要。
Objective To explore preoperative diagnosis of outpatient breast surgery and breast disease, especially in the prevention and treatment of breast cancer should pay attention to the problem. Methods From November 1, 2005 to October 31, 2006, a total of 403 cases of breast lump resection in outpatient operating room of our hospital were reviewed. The statistical analysis was made on the list and the correlation between the most common disease types and age was statistically analyzed. Results Outpatient breast surgery accounted for 80.67% under the age of 40, with the most common being breast fibroadenoma (71.96%) and breast adenosis (14.39%), while breast cyst disease (6.70%) was not uncommon. The other part is breast cancer (3.22%). Correlation analysis found that breast fibroids, breast adenosis, breast cysts and breast cancer have a strong correlation with age. Conclusions Outpatient breast surgery is more common in women under the age of 40, mainly breast fibroids, and some breast cancers and precancerous lesions, which can not be ignored. To improve the diagnosis of breast disease, especially breast cancer, is crucial for the prevention and treatment of breast cancer.