Bernardi S, Londero A P, Bertozzi S, Driul L, Marchesoni D, Petri R
Department of Surgery, AOU SM della Misericordia, Udine, Italy
J Obstet Gynaecol. 2012 Jan;32(1):58-61. doi: 10.3109/01443615.2011.613496.
Benign breast disease (BBD) is very common among women in their fertile age, but its correlation with breast reproductive function remains unclear. Our study aimed to investigate the relation between BBD and breast-feeding. We collected data on 105 women with BBD and 98 controls, focusing on their reproductive history and breast-feeding. We analysed data by R (version 2.12.1) considering p < 0.05 as significant. The results showed that fibroadenoma represented the most frequent BBD (55%), followed by fibrocystic changes (19%), intraductal papilloma (6%) and inflammatory breast disorders (5%). The mean age was 31.5 years (± 6.1), BMI 21.2 kg/m² (± 3.4) and age at menarche 13.0 years (± 1.5). Duration of breast-feeding was not significantly different between controls and BBD types (p = NS). Selecting women with fibroadenoma breast-feeding duration directly correlated with the number of benign lesions (p < 0.05), which remains significant also by multivariate analysis. It was concluded that there seemed to be no difference in breast-feeding among BBDs types, but lactation may influence the number of fibroadenomas. Moreover, prospective studies would better define the correlation between lactation and BBDs.
良性乳腺疾病(BBD)在育龄女性中非常常见,但其与乳腺生殖功能的相关性仍不明确。我们的研究旨在调查BBD与母乳喂养之间的关系。我们收集了105例BBD女性和98例对照的资料,重点关注她们的生殖史和母乳喂养情况。我们使用R(版本2.12.1)分析数据,将p < 0.05视为有统计学意义。结果显示,纤维腺瘤是最常见的BBD(55%),其次是纤维囊性变(19%)、导管内乳头状瘤(6%)和炎性乳腺疾病(5%)。平均年龄为31.5岁(± 6.1),体重指数为21.2 kg/m²(± 3.4),初潮年龄为13.0岁(± 1.5)。对照组和不同类型BBD之间的母乳喂养持续时间无显著差异(p =无统计学意义)。选择患有纤维腺瘤的女性,母乳喂养持续时间与良性病变数量直接相关(p < 0.05),多因素分析结果也显示该相关性具有统计学意义。研究得出结论,不同类型BBD的母乳喂养情况似乎没有差异,但哺乳可能会影响纤维腺瘤的数量。此外,前瞻性研究将能更好地明确哺乳与BBD之间的相关性。