CAJ | 학술논문

目的:分析全数字化乳腺X线摄影对女性早期乳腺癌的诊断意义.方法:选取186例经手术后病理诊断的早期乳腺病变患者作为研究对象,回顾性分析所有患者的全数字化乳腺X线摄影结果;对比早期乳腺良、恶性病变患者的X线异常征象差异性,分析女性早期乳腺癌的钙化特征与早期乳腺癌病理的相关性.结果:全数字化乳腺X线摄影对女性早期乳腺癌的诊断的准确度为93.5%、敏感度为94.2%、特异度为93.6%;早期乳腺良、恶性病变患者的X线异常征象具有显著差异性(P<0.05);乳腺钙化的形状、边缘、大小、密度、数量、分布及伴发其它X线异常征象与早期乳腺癌病理密切相关(P<0.05),有利于鉴别诊断早期乳腺良、恶性病变.结论:全数字化乳腺X线摄影在女性早期乳腺癌诊断中具有很高的价值,早期乳腺癌钙化特征与病理呈相关性,结合其它X线异常征象,有利于提高对早期乳腺癌诊断的准确度、敏感度及特异度.
목적:분석전수자화유선X선섭영대녀성조기유선암적진단의의.방법:선취186례경수술후병리진단적조기유선병변환자작위연구대상,회고성분석소유환자적전수자화유선X선섭영결과;대비조기유선량、악성병변환자적X선이상정상차이성,분석녀성조기유선암적개화특정여조기유선암병리적상관성.결과:전수자화유선X선섭영대녀성조기유선암적진단적준학도위93.5%、민감도위94.2%、특이도위93.6%;조기유선량、악성병변환자적X선이상정상구유현저차이성(P<0.05);유선개화적형상、변연、대소、밀도、수량、분포급반발기타X선이상정상여조기유선암병리밀절상관(P<0.05),유리우감별진단조기유선량、악성병변.결론:전수자화유선X선섭영재녀성조기유선암진단중구유흔고적개치,조기유선암개화특정여병리정상관성,결합기타X선이상정상,유리우제고대조기유선암진단적준학도、민감도급특이도.
Objective Analysis of fully digital breast X-ray photography significance to the diagnosis of early breast cancer women. Methods Select 186 cases through early postoperative pathological diagnosis of breast lesions in patients as the research object, all patients were retrospectively analyzed results of fully digital breast X-ray photography compared to benign and malignant breast lesions in patients with early X-ray abnormal signs, analysis calcification features of early breast cancer women with early breast cancer pathologic correlation.Results Fully digital breast X-ray photography, the accuracy of the diagnosis of early breast cancer in women was 93.5%, sensitivity was 94.2%, 93.6%; Benign and malignant breast lesions in patients with early X-ray abnormal signs has significant difference (P<0.05); The shape of the breast calcify, edge, size, density, quantity, distribution and other X-ray with abnormal signs are closely associated with early breast cancer pathology (P<0.05), which is beneficial to early differential diagnosis of benign and malignant breast lesions.Conclusion Fully digital breast X-ray photography has high value in diagnosis of early breast cancer in women, early breast cancer calcification features with pathological correlation, in combination with other abnormal X-ray signs, to improve accuracy of early breast cancer diagnosis, sensitive and specific degrees.