CAJ | 학술논문

目的：探讨X线钼靶、高频超声及MRI对硅胶假体隆乳术后破裂的诊断价值。方法对28例56只乳腺硅胶假体隆乳术后患者的X线钼靶、高频超声及MRI资料进行回顾性研究，分析其影像表现及对假体囊内破裂及囊外破裂的诊断价值。结果 X线不能完整显示假体(0%)，高频超声及MRI都能够完整显示假体(均为100%)；对囊外破裂，X线钼靶、高频超声及MRI都能显示(均为7.1%，4/56)； X线不能显示囊内破裂(0%)， MRI(32.1%,18/56)对囊内破裂的检出率高于超声(21.4%,12/56)(P=0.031)。结论对硅胶假体破裂的诊断，X线钼靶并不是令人满意的方法，超声是经济高效的检查方法，而MRI是最理想的检查方法，如经济允许，MRI可列为首选。
목적：탐토X선목파、고빈초성급MRI대규효가체륭유술후파렬적진단개치。방법대28례56지유선규효가체륭유술후환자적X선목파、고빈초성급MRI자료진행회고성연구，분석기영상표현급대가체낭내파렬급낭외파렬적진단개치。결과 X선불능완정현시가체(0%)，고빈초성급MRI도능구완정현시가체(균위100%)；대낭외파렬，X선목파、고빈초성급MRI도능현시(균위7.1%，4/56)； X선불능현시낭내파렬(0%)， MRI(32.1%,18/56)대낭내파렬적검출솔고우초성(21.4%,12/56)(P=0.031)。결론대규효가체파렬적진단，X선목파병불시령인만의적방법，초성시경제고효적검사방법，이MRI시최이상적검사방법，여경제윤허，MRI가렬위수선。
Objective To investigate the diagnostic value of mammography, high-frequency ultrasound and MRI in silicone breast implant rupture. Methods 28 cases with 56 breasts were included in this study, and the mammography, high-frequency ultrasound and MRI findings and its diagnostic value for silicone breast implant rupture were analyzed. Results The mammography can't show the integrity of the silicone breast implant(0%,0/56), and ultrasound and MRI can show it(100%,56/56). Both mammography, ultrasound and MRI can diagnose extracapsular rupture(7.1%,4/56). Mammography can't detect intracapsular rupture (0%,0/56),and MRI(32.1%,18/56)is better than ultrasound(21.4%,12/56)in detection of intracapsular rupture(P=0.031). Conclusion In detecting silicone breast implant rupture, mammography is a satisfied way, ultrasound is an economic and efficient way, and MRI is the most ideal way and it should be the first choice if the economy allowed.