乳腺癌常规钼靶摄影与局部加压放大摄影65例对照分析  

Comparative analysis between breast conventional mammography and amplificatory mammography with partial compression in 65 cases of breast cancer

作　　者：段华秀 赵春林[1] 鲍翔[1] 石群[1] 

机构地区：[1]淮南朝阳医院医学影像科,安徽省淮南232007

出　　处：《中国基层医药》2014年第11期1674-1675,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨乳腺常规钼靶摄影与局部加压放大钼靶摄影显示乳腺肿块的恶性征象与手术病理定性诊断的正确率.方法 对65例乳腺癌患者进行常规钼靶摄影及局部加压放大钼靶摄影检查,并将X线征象进行对照性分析.结果 65例乳腺癌病例中,普通常规钼靶摄影与局部加压放大钼靶摄影检查结果在恶性符合病理检查例数分别为16例、60例,钙化灶显示例数分别为19例、41例,导管型钙化显示例数分别为13例、37例,混合型钙化显示例数分别为0例、4例,分叶征及毛刺征的显示例数分别为18例、46例、14例、59例.结论 局部放大摄影对乳腺肿块的诊断明显优于常规乳腺钼靶,对团状致密影、细小钙化、致密型乳腺病变性质的评估有重要的价值,能明显提高诊断正确率,尤其能提高早期乳腺癌的检出率.Objective To discuss the correlationship between the diagnosis of surgical pathology and the signs of malignancy which is both displayed by breast conventional mammography and amplificatory mammography with partial compression.Methods 65 cases with breast cancer were examined by both breast conventional mammography and amplificatory mammography with partial compression.The results of the two methods were analyzed.Results In all 65 cases of breast cancer,the comparison between breast conventional mammography and amplificatory mammography with partial compression could provide 16/60 cases in the X-ray signs of malignancy,which were in accordance with pathological examination results,19/41cases in the occurrence of calcification,13/37 cases in ductal calcification,0/4 cases in mixed type calcification,18/46 and 14/59 cases in the occurrence of lobulation and spicule signs.Conclusion Amplificatory mammography with partial compression can provide better insight in breast cancer than conventional mammography,especially in the region of dense shadow,small calcification and dense breast lesions,amplificatory mammography with partial compression can provide higher accuracy in diagnosis,especially for early breast cancer.

关 键 词：乳腺肿瘤 乳房X线投影术 X线放大投影术 

分 类 号：R737.9[医药卫生—肿瘤]