^(99m)Tc-MIBI乳腺显像与乳腺X线照相在乳腺癌诊断中的价值  

The value of ^(99m)Tc-MIBI scintimammography and breast X-ray in the diagnosis of breast cancer

作　　者：杨学伟[1] 杨维良[1] 王秀兰[1] 金刚[1] 吴克非[1] 

机构地区：[1]哈尔滨医科大学附属第二医院乳腺外科,黑龙江哈尔滨150086

出　　处：《中国普通外科杂志》2004年第11期801-803,共3页China Journal of General Surgery

基　　金：黑龙江省卫生厅资助课题 (1 997-C55)

摘　　要：目的　评价99mTc MIBI乳腺显像与乳腺X线照相检测乳腺癌的实用性。方法　对 10 0例10 6个经临床检查可疑乳腺病灶的妇女进行乳腺钼靶X线照相和99m Tc MIBI乳腺显像检查 ,并与病理学诊断结果进行对比。结果　与病理组织学诊断比较 ,钼靶照相检测乳腺癌特异性为 44 .6% ,阳性预测值为 3 1.7% ;99mTc MIBI乳腺显像检测乳腺癌的特异性为 87.8% ,阳性预测值为 76.9%。结论　99mTcObjective To evaluate the practical value of 99m Tc-MIBI scintimammography and breast X-ray in the detection of breast cancer. Methods 100 female patients with 106 suspected focuses of breast cancer on clinical examination underwent 99m Tc-MIBI scintimammography and breast molybdenum target X-ray, and the results were compared with the pathological diagnosis. Results Compared with the histopathologic diagnosis , the sensitivity of molybdenum target X-ray for detecting primary breast cancer was 44.6% and the positive predictability was 31.7%. The specificity of 99m Tc-MIBI was 87.8% and the positive predictability was 76.9%. Conclusions In comparison with breast X-ray, 99m Tc-MIBI scintimammography is of greater clinical value in the diagnosis of breast cancer.

关 键 词：乳腺肿瘤/放射性核素成象 乳腺肿瘤/放射照相术 

分 类 号：R737.9[医药卫生—肿瘤]