X线钼靶、高频超声及MRI对硅胶假体隆乳术后破裂的诊断价值  

The Diagnosis of Mammography, Highfrequency Ultrasound and MRI in Silicone Breast Implant Rupture

作　　者：杜牧[1] 曹满瑞[1] 谢肇峰[1] 刘涛 

机构地区：[1]南方医科大学附属深圳市妇幼保健院放射科,广东深圳518028 [2]暨南大学第二临床医学院深圳市人民医院超声科,广东深圳518020

出　　处：《中国CT和MRI杂志》2014年第8期23-26,共4页Chinese Journal of CT and MRI

基　　金：2011年广东省深圳市科技计划基金项目(编号:201 002092)

摘　　要：目的探讨X线钼靶、高频超声及MRI对硅胶假体隆乳术后破裂的诊断价值。方法对28例56只乳腺硅胶假体隆乳术后患者的X线钼靶、高频超声及MRI资料进行回顾性研究,分析其影像表现及对假体囊内破裂及囊外破裂的诊断价值。结果 X线不能完整显示假体(0%),高频超声及MRI都能够完整显示假体(均为100%);对囊外破裂,X线钼靶、高频超声及MRI都能显示(均为7.1%,4/56);X线不能显示囊内破裂(0%),MRI(32.1%,18/56)对囊内破裂的检出率高于超声(21.4%,12/56)(P=0.031)。结论对硅胶假体破裂的诊断,X线钼靶并不是令人满意的方法,超声是经济高效的检查方法,而MRI是最理想的检查方法,如经济允许,MRI可列为首选。Objective To investigate the diagnostic value of mammography, high-frequency ultrasound and MRI in silicone breast implant rupture. Methods 28 cases with 56 breasts were included in this study, and the mammography, high-frequency ultrasound and MRI findings and its diagnostic value for silicone breast implant rupture were analyzed. Results The mammography can＇t show the integrity of the silicone breast implant（0%,0/56）, and ultrasound and MRI can show it（100%,56/56）. Both mammography, ultrasound and MRI can diagnose extracapsular rupture（7.1%,4/56）. Mammography can＇t detect intracapsular rupture （0%,0/56）,and MRI（32.1%,18/56）is better than ultrasound（21.4%,12/56）in detection of intracapsular rupture（P=0.031）. Conclusion In detecting silicone breast implant rupture, mammography is a satisfied way, ultrasound is an economic and efficient way, and MRI is the most ideal way and it should be the first choice if the economy allowed.

关 键 词：硅胶假体 X线钼靶 超声成像 磁共振成像 

分 类 号：R445[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]