CAJ | 학술논문

目的：探讨核磁共振(MRI)、钼靶 X 射线摄影和彩色多普勒超声(CDUS)单独或联合使用对未触及肿块乳腺癌早期诊断的实用价值。方法：150例未触及肿块的可疑乳腺疾病患者均行 MRI、钼靶 X 射线摄影和 CDUS 检查，对其单独或并联检查的结果进行分析，并与病理结果进行对照。结果：MRI、钼靶 X射线摄影、CUDS 单独或联合使用与病理结果呈正关联，以上3种方法单独应用的诊断效能两两比较差异无统计学意义(P>0.05)，MRI 并联钼靶摄影、MRI 并联 CDUS、钼靶摄影并联 CDUS 以及3种方法并联应用的诊断效能比较，差异均无统计学意义(P>0.05)，但上述4种并联应用方法的诊断效能均高于单独应用的诊断效能。相对而言，钼靶 X 射线摄影与 CUDS 并联检查可明显提高未触及肿块的乳腺癌的检出阳性率和灵敏度，诊断效能最好。结论：MRI、CDUS、钼靶 X 射线摄影单独或联合使用均可应用于未触及肿块的乳腺癌早期诊断，结合我国的实际情况，钼靶 X 射线摄影与 CUDS 联合应用可作为未触及肿块的乳腺癌的首选筛查方法。但 MRI 也有一定的临床应用价值。
목적：탐토핵자공진(MRI)、목파 X 사선섭영화채색다보륵초성(CDUS)단독혹연합사용대미촉급종괴유선암조기진단적실용개치。방법：150례미촉급종괴적가의유선질병환자균행 MRI、목파 X 사선섭영화 CDUS 검사，대기단독혹병련검사적결과진행분석，병여병리결과진행대조。결과：MRI、목파 X사선섭영、CUDS 단독혹연합사용여병리결과정정관련，이상3충방법단독응용적진단효능량량비교차이무통계학의의(P>0.05)，MRI 병련목파섭영、MRI 병련 CDUS、목파섭영병련 CDUS 이급3충방법병련응용적진단효능비교，차이균무통계학의의(P>0.05)，단상술4충병련응용방법적진단효능균고우단독응용적진단효능。상대이언，목파 X 사선섭영여 CUDS 병련검사가명현제고미촉급종괴적유선암적검출양성솔화령민도，진단효능최호。결론：MRI、CDUS、목파 X 사선섭영단독혹연합사용균가응용우미촉급종괴적유선암조기진단，결합아국적실제정황，목파 X 사선섭영여 CUDS 연합응용가작위미촉급종괴적유선암적수선사사방법。단 MRI 야유일정적림상응용개치。
Objective:To evaluate the value of the singly or parallel using with magnetic resonance imaging (MRI), mammography, color Doppler ultrasound ( CDUS ) in early detecting non-palpable breast cancer. Methods: 150 female patients with suspicious masses underwent MRI, mammography and CDUS.The results of the histopathology after surgery were using as diagnostic golden standard.The findings of singly or parallel using of MRI, mammography and CDUS in non-palpable breast carcinoma were compared. Results:The results of singly or parallel using of MRI, mammography, CUDS for the diagnosis of the non-palpable breast cancer is related to the histopathology.In the diagnostic ability, the singly using of the three methods and the parallel using of two or three methods there were no significant difference showed.But, the diagnostic ability of the parallel using is highly than the singly using. Relatively, the combine diagnosis using of mammography and CDUS can improve the sensitivity significantly and the positive detectable rate.So, it was the most efficient. Conclusions: It’s suitable that the singly using of MRI, mammography, CUDS and the parallel diagnosis using two or three of the methods together for the diagnosis of the non-palpable early breast cancer.The combine diagnosis using mammography and CDUS represented the best method for screening non-palpable early breast cancer in China. But, MRI has practical value of clinical application.