中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
6期
869-871
,共3页
乳腺结节%钼靶X线%超声%诊断率
乳腺結節%鉬靶X線%超聲%診斷率
유선결절%목파X선%초성%진단솔
Mammary gland tubercle%Mammary gland X-ray%Ultrasound%Diagnosis rate
目的 分析全视野数字化乳腺摄影对乳腺微小结节的诊断价值,提高术前检出率及诊断率.方法 收集兰州军区兰州总医院经病理证实的115例乳腺结节样病变患者临床资料,分析、总结其X线表现特征,并与彩色多普勒超声进行参考对比.结果 115例患者中良性65例,钼靶诊断49例,符合率75.0％;超声诊断54例,符合率83.0％;钼靶与超声联合诊断59例,符合率90.0％.恶性50例,钼靶诊断44例,符合率88.0％;超声诊断38例,符合率76.0％;钼靶与超声诊断47例,符合率94.0％.恶性病变钼靶符合率较高,腺病瘤、腺病等良性结节超声诊断符合率更高.二者差异无统计学意义(P＞0.05).65个良性病灶中纤维腺病24例,纤维腺瘤16例,单纯囊肿12例,导管内乳头状瘤9例,脂肪瘤4例.50例恶性病灶中IDC 41例,DCIS 3例,Paget's病1例,恶性分叶状肿瘤1例,浸润性小叶癌2例,黏液腺癌1例,导管内硬癌1例.二者联合诊断其符合率明显高于单种检查方法.结节伴钙化病例23例,术前钼靶全部诊断正确.结论 钼靶X线检查仍为乳腺疾病的主要检查手段之一,联合超声不仅可提高诊断准确率,且可互补,是临床常用的2种检查方法.
目的 分析全視野數字化乳腺攝影對乳腺微小結節的診斷價值,提高術前檢齣率及診斷率.方法 收集蘭州軍區蘭州總醫院經病理證實的115例乳腺結節樣病變患者臨床資料,分析、總結其X線錶現特徵,併與綵色多普勒超聲進行參攷對比.結果 115例患者中良性65例,鉬靶診斷49例,符閤率75.0％;超聲診斷54例,符閤率83.0％;鉬靶與超聲聯閤診斷59例,符閤率90.0％.噁性50例,鉬靶診斷44例,符閤率88.0％;超聲診斷38例,符閤率76.0％;鉬靶與超聲診斷47例,符閤率94.0％.噁性病變鉬靶符閤率較高,腺病瘤、腺病等良性結節超聲診斷符閤率更高.二者差異無統計學意義(P＞0.05).65箇良性病竈中纖維腺病24例,纖維腺瘤16例,單純囊腫12例,導管內乳頭狀瘤9例,脂肪瘤4例.50例噁性病竈中IDC 41例,DCIS 3例,Paget's病1例,噁性分葉狀腫瘤1例,浸潤性小葉癌2例,黏液腺癌1例,導管內硬癌1例.二者聯閤診斷其符閤率明顯高于單種檢查方法.結節伴鈣化病例23例,術前鉬靶全部診斷正確.結論 鉬靶X線檢查仍為乳腺疾病的主要檢查手段之一,聯閤超聲不僅可提高診斷準確率,且可互補,是臨床常用的2種檢查方法.
목적 분석전시야수자화유선섭영대유선미소결절적진단개치,제고술전검출솔급진단솔.방법 수집란주군구란주총의원경병리증실적115례유선결절양병변환자림상자료,분석、총결기X선표현특정,병여채색다보륵초성진행삼고대비.결과 115례환자중량성65례,목파진단49례,부합솔75.0％;초성진단54례,부합솔83.0％;목파여초성연합진단59례,부합솔90.0％.악성50례,목파진단44례,부합솔88.0％;초성진단38례,부합솔76.0％;목파여초성진단47례,부합솔94.0％.악성병변목파부합솔교고,선병류、선병등량성결절초성진단부합솔경고.이자차이무통계학의의(P＞0.05).65개량성병조중섬유선병24례,섬유선류16례,단순낭종12례,도관내유두상류9례,지방류4례.50례악성병조중IDC 41례,DCIS 3례,Paget's병1례,악성분협상종류1례,침윤성소협암2례,점액선암1례,도관내경암1례.이자연합진단기부합솔명현고우단충검사방법.결절반개화병례23례,술전목파전부진단정학.결론 목파X선검사잉위유선질병적주요검사수단지일,연합초성불부가제고진단준학솔,차가호보,시림상상용적2충검사방법.
Objective To analyze the diagnosis of full-field digital mammography in minute tubercle.Methods Totally 115 specimen of mammary gland tubercle were reviewed.Results Innocuousness were 65 of 115 cases.49 cases were diagnosed by mammary gland and the coincidence rate was 75.0％.Ultrasonic diagnosis was 54 cases and the correct diagnosis was 83.0％ ; 59 cases were diagnosed by uniting mammary gland and ultrasonic,and the coincidence was 90.0％.50 cases were malignancy.Mammary gland X-ray was for 44 cases and coincidence rate was 88.0％ ; ultrasonic diagnosis was for 38 cases and coincidence was 76.0％.47 cases were diagnosed by mammary gland X-ray and ultrasonic; coincidence was 94.0％.Diagnosis coincidence of mammary gland x-ray was higher for malignancy but the two groups of evaluation results had no statistical significance (P ＞0.05).In 65 benign lesions,fibroadenosis was 24 cases; fibroadenoma was 16 cases; cystis was 12 examples; intraductal papilloma was 9 cases and liparomphalus was 4 cases.In 50 cases of malignant disease,infitrating ductal carcinoma was 41 cases; ductal carcinoma in situ was 3 cases; paget's disease was 1 case; phyllodes tumor of malignant was one case; infiltrating lobular carcinoma was 2 cases; mucinous adenocarcinoma was 1 case and intraductal scirrhous carcinoma was 1 case.Nodules with calcification had 23 examples which were correctly diagnosed by mammary gland X-ray.Conclusion Mammary gland X-ray and ultrasound are important for clinical examinations.
