CAJ | 학술논문

目的探讨高频超声联合数字乳腺X线摄影对乳腺导管内癌的诊断价值. 方法回顾性分析56例经病理证实的乳腺导管内癌的影像学特征并比较两种检查方法的诊断准确率. 结果超声表现为团块型24例,导管扩张型7例,单纯钙化型13例,数字乳腺X线摄影表现为钙化型21例,局部密度增高型12例,结构紊乱型9例,数字乳腺X线摄影对导管内癌诊断符合率为75 .0%( 42/56 ) ,高频超声对导管内癌诊断符合率为78.6%(44/56),诊断准确率比较,差异无统计学意义(P>0.05),高频超声联合数字乳腺X线摄影对导管内癌的诊断准确率为92.9%(52/56),显著高于超声诊断准确率(P<0.05). 结论联合数字乳腺X线摄影及超声均对导管内癌有较高诊断准确率,但两者联合应用可提高诊断准确率.
목적 탐토고빈초성연합수자유선X선섭영대유선도관내암적진단개치. 방법 회고성분석56례경병리증실적유선도관내암적영상학특정병비교량충검사방법적진단준학솔. 결과 초성표현위단괴형24례,도관확장형7례,단순개화형13례,수자유선X선섭영표현위개화형21례,국부밀도증고형12례,결구문란형9례,수자유선X선섭영대도관내암진단부합솔위75 .0%( 42/56 ) ,고빈초성대도관내암진단부합솔위78.6%(44/56),진단준학솔비교,차이무통계학의의(P>0.05),고빈초성연합수자유선X선섭영대도관내암적진단준학솔위92.9%(52/56),현저고우초성진단준학솔(P<0.05). 결론 연합수자유선X선섭영급초성균대도관내암유교고진단준학솔,단량자연합응용가제고진단준학솔.
Objective To estimate the accuracy of ultrasound combined with mammography in the diagnosis of ductal carcinoma in situ ( DCIS ) .Methods Imaging features of fifty-six patients with DCIS confirmed by pathology were retrospectively analyzed and estimated the accuracy .Results Mass type in 24,ductal ectasia type in 7,pure calcifi-cation type in 13 were observed by ultrasound .By mammography,calcification type in 21,local increased density in 12, architecture disorder type in 9.The coincidence rates of ultrasound and digital mammography of DCIS were 78.6%and 75.0%respectively.The accuracy was not statistically different (P>0.05).The coincidence rates of combination of both methods was 92.9%,higher than that of ultrasound (P<0.05).Conclusion Both ultrasound and digital mammography are useful diagnostic method of DCIS ,the diagnosic accuracy can be improved by combination of ultrasound and mam-mography .