Kornguth P J, Keefe F J, Wright K R, Delong D M
Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115, USA.
J Pain. 2000 Winter;1(4):268-74. doi: 10.1054/jpai.2000.7884.
In this study, pain during mammography in women treated conservatively for breast cancer was examined. It studied pain intensity and its relation to a variety of demographic, medical, and pain coping variables as well as to objective measures of breast compression. Ninety-nine women, treated with lumpectomy (with or without radiation) and undergoing follow-up screening mammography, were asked about strategies they use to cope with everyday pain and then were asked to report pain experienced during the mammogram. Treated and untreated breasts were rated separately and compared with a sample of 125 control women with no history of breast cancer. Women reported significantly greater pain in the treated breast (41% greater than the untreated breast and 32% greater than the control group). There was no consistent relationship between mammography pain and pain coping. Average intensity of pain at last mammogram was the best predictor of pain in both breasts. Women treated conservatively for breast cancer experience significantly greater pain during mammography of their treated breast. Radiologists and technologists can identify women at risk for a painful mammogram by asking about the pain at last mammogram. By applying pain-reducing interventions, they might be able to make the mammography experience more tolerable for these women.
在本研究中，对接受乳腺癌保守治疗的女性进行乳房X光检查时的疼痛情况进行了调查。研究了疼痛强度及其与各种人口统计学、医学和疼痛应对变量的关系，以及与乳房压迫客观测量指标的关系。九十九名接受保乳手术（有或无放疗）并正在接受后续乳房X光筛查的女性，被问及她们应对日常疼痛的策略，然后被要求报告乳房X光检查期间经历的疼痛。对接受治疗和未接受治疗的乳房分别进行评分，并与125名无乳腺癌病史的对照女性样本进行比较。女性报告称，接受治疗的乳房疼痛明显更严重（比未接受治疗的乳房疼痛高41%，比对照组高32%）。乳房X光检查疼痛与疼痛应对之间没有一致的关系。上次乳房X光检查时的平均疼痛强度是双侧乳房疼痛的最佳预测指标。接受乳腺癌保守治疗的女性在对其接受治疗的乳房进行乳房X光检查时经历的疼痛明显更严重。放射科医生和技术人员可以通过询问上次乳房X光检查时的疼痛情况，识别出乳房X光检查疼痛风险较高的女性。通过采用减轻疼痛的干预措施，他们或许能够让这些女性的乳房X光检查体验更易于忍受。
