泸州医学院学报
瀘州醫學院學報
로주의학원학보
JOURNAL OF LUZHOU MEDICAL COLLEGE
2015年
4期
417-420
,共4页
乳腺%良恶性肿块%弥散加权成像%表观弥散系数
乳腺%良噁性腫塊%瀰散加權成像%錶觀瀰散繫數
유선%량악성종괴%미산가권성상%표관미산계수
Breast%Benign and malignant lumps%Diffusion weighted imaging%Apparent diffusion coefficient
目的：：探究表观弥散系数对不同病理类型乳腺肿块鉴别诊断的价值。方法：收集经手术或穿刺病理证实的乳腺肿块48病例，通过后处理得到ADC图并测量ADC值，做出统计分析。结果：52个病灶中良性肿瘤23例，恶性肿瘤29例。良性病变的ADC值为(1.326±0.526)×10-3 mm2/s，恶性肿瘤的ADC值(1.202±0.060)×10-3 mm2/s，两者差异具有统计学意义。良性病变中，乳腺纤维囊性增生的ADC值(1.292±0.136)×10-3 mm2/s，纤维腺瘤的ADC值(1.347±0.292)×10-3 mm2/s；恶性病变中浸润性导管癌的ADC值(1.192±0.320)×10-3 mm2/s，髓样癌的ADC值(1.226±0.265)×10-3 mm2/s。纤维囊性增生与浸润性导管癌、纤维腺瘤与浸润性导管癌、纤维腺瘤与髓样癌、浸润性导管癌与髓样癌ADC值差异具有统计学意义。结论：不同病理类型乳腺肿块ADC值具有统计学差异，表观弥散系数对不同病理类型乳腺肿块的诊断具有重要价值。
目的：：探究錶觀瀰散繫數對不同病理類型乳腺腫塊鑒彆診斷的價值。方法：收集經手術或穿刺病理證實的乳腺腫塊48病例，通過後處理得到ADC圖併測量ADC值，做齣統計分析。結果：52箇病竈中良性腫瘤23例，噁性腫瘤29例。良性病變的ADC值為(1.326±0.526)×10-3 mm2/s，噁性腫瘤的ADC值(1.202±0.060)×10-3 mm2/s，兩者差異具有統計學意義。良性病變中，乳腺纖維囊性增生的ADC值(1.292±0.136)×10-3 mm2/s，纖維腺瘤的ADC值(1.347±0.292)×10-3 mm2/s；噁性病變中浸潤性導管癌的ADC值(1.192±0.320)×10-3 mm2/s，髓樣癌的ADC值(1.226±0.265)×10-3 mm2/s。纖維囊性增生與浸潤性導管癌、纖維腺瘤與浸潤性導管癌、纖維腺瘤與髓樣癌、浸潤性導管癌與髓樣癌ADC值差異具有統計學意義。結論：不同病理類型乳腺腫塊ADC值具有統計學差異，錶觀瀰散繫數對不同病理類型乳腺腫塊的診斷具有重要價值。
목적：：탐구표관미산계수대불동병리류형유선종괴감별진단적개치。방법：수집경수술혹천자병리증실적유선종괴48병례，통과후처리득도ADC도병측량ADC치，주출통계분석。결과：52개병조중량성종류23례，악성종류29례。량성병변적ADC치위(1.326±0.526)×10-3 mm2/s，악성종류적ADC치(1.202±0.060)×10-3 mm2/s，량자차이구유통계학의의。량성병변중，유선섬유낭성증생적ADC치(1.292±0.136)×10-3 mm2/s，섬유선류적ADC치(1.347±0.292)×10-3 mm2/s；악성병변중침윤성도관암적ADC치(1.192±0.320)×10-3 mm2/s，수양암적ADC치(1.226±0.265)×10-3 mm2/s。섬유낭성증생여침윤성도관암、섬유선류여침윤성도관암、섬유선류여수양암、침윤성도관암여수양암ADC치차이구유통계학의의。결론：불동병리류형유선종괴ADC치구유통계학차이，표관미산계수대불동병리류형유선종괴적진단구유중요개치。
ObjectiveTo investigate the value of apparent diffusion coefficient(ADC) in differential diagnose of different pathological types of breast lumps. Methods: Collect breast lumps (48 cases) which confirmed by surgery or biopsy,the ADC value of lesions was measured and statistically analyzed. ResultsIn 52 lesions (23 benign,29 malignant),ADC value of benign lesions.(1.326±0.526)í10-3 mm2/s,of malignant tumor was(1.202± 0.060)í 10-3 mm2/s, and the difference had significant difference. In benign lesion groups, the ADC value of cystic hyperplasia of mammary gland fiber was(1.292± 0.136)í 10-3 mm2/s, fibroadenoma was (1.347 ± 0.292)í 10-3 mm2/s; in malignant lesions groups,the ADC value of infiltrating ductal carcinoma was (1.192 ± 0.320)í10-3 mm2/s, medullary carcinoma was (1.226 ± 0.265)í 10-3 mm2/s. Between. Fiber cystic hyperplasia and infiltrating ductal carcinoma, fibroadenoma and infiltrating ductal carcinoma, fibroadenoma and medullary carcinoma, infiltrating ductal carcinoma and medullary carcinoma four groups ADC value had significant difference. ConclusionADC vueof Different pathological types had significant difference MRI apparent diffusion coefficient has important value in differential diagnosis of different pathological types of breast lump.
