Stomper P C, Kopans D B, Sadowsky N L, Sonnenfeld M R, Swann C A, Gelman R S, Meyer J E, Jochelson M S, Hunt M S, Allen P D
Department of Radiology, Dana-Farber Cancer Institute, Boston, MA 02115.
Arch Intern Med. 1988 Mar;148(3):521-4.
Anecdotal reports of pain experienced during mammography have been a source of anxiety and concern for some women considering screening. To determine what asymptomatic women actually experience during mammography, a survey of 1847 women was performed at seven breast-imaging centers. Women recorded their experience on a six-point scale ranging from no discomfort to severe pain. Eighty-eight percent of the women experienced no discomfort (49%) or mild discomfort (39%). Only 9% experienced moderate discomfort; 1%, severe discomfort; and 1%, moderate pain. No woman had pain so severe that it would make her reconsider having a mammogram again. The degree of discomfort was slightly greater in women who complained of breast tenderness within three days prior to the mammogram but was not strongly related to age, menstrual status, or week of the menstrual cycle. We conclude that in a vast majority of women mammography causes no or mild physical discomfort and that actual pain is an uncommon occurrence.
关于乳房X线摄影检查时经历疼痛的传闻报道，一直是一些考虑进行筛查的女性焦虑和担忧的来源。为了确定无症状女性在乳房X线摄影检查时实际的感受，在七个乳腺成像中心对1847名女性进行了一项调查。女性根据从无不适到剧痛的六点量表记录她们的感受。88%的女性没有不适（49%）或有轻微不适（39%）。只有9%的女性有中度不适；1%有严重不适；1%有中度疼痛。没有女性的疼痛严重到会让她重新考虑是否再次进行乳房X线摄影检查。在乳房X线摄影检查前三天内抱怨乳房压痛的女性，不适程度略高，但与年龄、月经状态或月经周期的周数没有密切关系。我们得出结论，在绝大多数女性中，乳房X线摄影检查不会引起身体不适或只会引起轻微不适，而实际疼痛是罕见的情况。
