柳春霞, 朱琳, 李雅菁. 育龄女性月经周期不同时期临床特征的相关性分析[J]. 蚌埠医科大学学报, 2018, 43(3): 379-382. DOI: 10.13898/j.cnki.issn.1000-2200.2018.03.029
    引用本文: 柳春霞, 朱琳, 李雅菁. 育龄女性月经周期不同时期临床特征的相关性分析[J]. 蚌埠医科大学学报, 2018, 43(3): 379-382. DOI: 10.13898/j.cnki.issn.1000-2200.2018.03.029
    LIU Chun-xia, ZHU Lin, LI Ya-jing. The correlation analysis between different periods of women's menstrual cycle and clinical characteristics[J]. Journal of Bengbu Medical University, 2018, 43(3): 379-382. DOI: 10.13898/j.cnki.issn.1000-2200.2018.03.029
    Citation: LIU Chun-xia, ZHU Lin, LI Ya-jing. The correlation analysis between different periods of women's menstrual cycle and clinical characteristics[J]. Journal of Bengbu Medical University, 2018, 43(3): 379-382. DOI: 10.13898/j.cnki.issn.1000-2200.2018.03.029

    育龄女性月经周期不同时期临床特征的相关性分析

    The correlation analysis between different periods of women's menstrual cycle and clinical characteristics

    • 摘要: 目的:探讨育龄期女性在月经周期不同时期的临床特征(乳腺胀痛症状、结构变化、激素水平、影像学改变)之间的相关性。方法:选择35名月经规律,无乳腺疾患的育龄期女性,分别于月经周期第6~14天(卵泡期)、第15~28天(黄体期),记录乳腺胀疼情况、测血清雌二醇(E2),孕酮(P)水平,乳腺超声及MRI检查,测量乳腺腺体厚度、导管宽度、腺体结构变化及弥散系数(ADC)值。结果:黄体期的E2、P、LH激素水平和ADC值均高于卵泡期(P<0.05~P<0.01);而黄体期的导管宽度值显著低于卵泡期(P<0.01);且黄体期和卵泡期的ADC值和E2、P水平呈显著相关;卵泡期,乳腺结构变化和乳房有胀痛女性E2水平较乳腺结构未变化和乳房无胀痛感女性降低,而P水平则明显升高(P<0.05~P<0.01);黄体期,乳腺结构变化女性P水平显著高于乳腺结构未变化女性(P<0.01),乳房有胀痛感女性E2和P水平均高于乳房无胀痛感女性(P<0.05~P<0.01)。结论:E2、P水平随着月经周期的不同时期改变,妇女的乳腺结构也会发生相应的变化,乳腺胀痛症状与E2、P水平有一定的相关性,ADC值与月经周期不同时期的E2、P水平亦有着密切的关系。

       

      Abstract: Objective:To investigate the correlations between different periods of women's menstrual cycle and clinical characteristics(breast symptom,hormone level and ultrasonic image).Methods:The breast pain sign,levels of serum estradiol(E2) and progesterone(P),and thickness of mammary gland,duct width,glandular structure and ADC detected by breast ultrasonography and MRI in 35 childbearing age women between 6 to 14 days of menstrualcycle(follicular phase) and 15 to 28 days menstrual cycle(luteal phase) were compared.Results:The levels of E2,P,LH and ADC value in luteal phase were higher than those in follicular phase(P<0.05),and the width of duct in luteal phase was significant lower than that in follicular phase(P<0.05).The levels of E2 and P at luteal and follicular phase were significantly related to the ADC value(P<0.05).In luteal phase,the levels of E2 and P in the women with breast structure change and pain decreased and increased compared with the women without breast structure change and pain,respectively(P<0.05 to P<0.01).In follicular phase,the level of P in the women with breast structure change was significant higher than that in women without breast structure change(P<0.01),and the levels of E2 and P in the women with breast tenderness were higher than those in women without breast tenderness(P<0.05 to P<0.01).Conclusions:With the change of the phase in menstrual cycle,the levels of E2 and P,and breast structure change.The breast tenderness is related to the levels of E2 and P,and the ADC value is closely related to the levels of E2 and P in different menstrual cycle.

       

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