乳腺纤维腺瘤及痛经关系探析.docVIP

乳腺纤维腺瘤及痛经关系探析[摘要] 目的：探讨乳腺纤维腺瘤与痛经的关系。方法：按就诊先后顺序选择经手术病理证实的乳腺纤维腺瘤患者30例，分析乳腺纤维腺瘤与痛经的关系。结果：30例患者中有痛经者23例（76%），肿瘤直径2.5~11.5 cm，平均4.7 cm。其中1例严重痛经者相当于双乳腺皮内切除术后，痛经症状消失。无痛经患者7例，直径1.0~3.5 cm，平均2.2 cm。结论：乳腺纤维瘤与痛经有关，且痛经多发生在肿瘤直径大、双乳多发、年龄小的患者，切除双乳可能使痛经症状消失。 [关键词] 乳腺纤维腺瘤；痛经；探讨 [中图分类号]R737.9 [文献标识码] B[文章编号] 1673-7210（2009）05（c）-128-02 Correlation between fibroadenoma of breast and dysmenorrhea SU Hongchun (Department of Obstetrics and Gynecology, Liuhe Hospital of Jilin Province, Liuhe 135300, China) [Abstract] Objective: To discuss the relationship between fibroadenoma of breast and dysmenorrhea. Methods: A random samples of 30 patients with fibroadenoma of breast were selected to discuss whether this disease was relevant to dysmenorrhea. Results: 23 patients(76%) had dysmenorrhea. The diameter of these fibroadenomas ranged from 2.5 to 11.5 cm. The average was 4.7 cm. 1 patient who had severe dysmenorrhea was cured after resection. The amounts of fibroadenoma in the other 7 patients who had not dysmenorrhea were lesser. The diameter of these fibroadenomas ranged from 1.0 to 3.5 cm. The average was 2.2 cm. Conclusion: Fibroadenoma of breast is relevant to dysmenorrhea. The more and larger the fibroadenomas, the younger the patients, the higher disease incidence of dysmenorrheal occurred. The symptoms of dysmenorrhea may vanish after resecting both breasts. [Key words] Fibroadenoma; Dysmenorrhea; Investigation 乳腺纤维腺瘤（fibroadenoma, FA）和原发性痛经（primary dysmenorrhea, PD）是女性的常见病，对于两者有无关系，临床鲜有报道，笔者治疗30例FA患者，表明二者可能有某种关系。其中1例年轻患者痛经严重，双乳多发FA，多次手术，最后相当于将双乳腺皮内切除。奇怪的是痛经症状随之消失，由此病例受到启发，进而发现许多患FA的女性合并PD，现将按就诊先后顺序经手术病理证实的FA有完整资料的30例患者总结如下，探讨两者的关系。 1 资料与方法 1.1 一般资料 本组30例患者均为女性，年龄16~46岁，平均21岁。30例中，16~25岁20例，25~35岁7例，35～46岁3例。肿瘤直径1.0~11.5 cm，平均4.1 cm。单乳单发10例，单乳多发4例，双乳单发6例，双乳多发10例。 1.2 方法 均在局麻下完整切除肿瘤，经病理证实为FA。 2 结果 2.1 痛经定义及发病率 痛经的定义[1]：凡在行经前后或月经期出现下腹疼痛、坠胀、伴腰酸或其他不适、程度较重以致影响生活和工作质量者称痛经。按此标准，30例患者中有痛经者23例（76%），23例痛经患者中，单乳单发5例，单乳多发3例，双乳单发5例，双乳多发10例。肿瘤直径2.5~11