钼靶X线、彩色多普勒超声和磁共振检查在乳腺癌保乳手术中的应用  

Application study of mammography,color Doppler ultrasonography and magnetic resonance imaging on breast conserving operation for breast cancer

作　　者：刘辉[1] 王涛[1] 周理乾[1] 刘宝莉[1] 

机构地区：[1]陕西省人民医院,西安710068

出　　处：《陕西医学杂志》2016年第2期196-197,205,共3页Shaanxi Medical Journal

基　　金：陕西省科学技术研究发展计划项目(2014K12-13)

摘　　要：目的:探讨在乳腺癌保乳手术中应用磁共振、彩色多普勒超声及钼靶X线检查的临床效果。方法:乳腺癌行保乳手术患者中选取70例为研究对象,均经病理检查确诊。其中65例术前行钼靶X线检查,69例术前行彩色多普勒超声检查,60例术前行磁共振检查,观察3组患者影像学表现及检查准确度。结果:钼靶X线检查与彩色多普勒超声检查病灶直径同病理检查比较,均具有较大差异(P<0.05),磁共振检查同病理检查病灶直径比较无明显差异(P>0.05);磁共振检查对于病灶检出率为100.00%,同钼靶X线检查及超声检查比较,明显较高(P<0.05);磁共振检查符合率为100.00%,明显高于其他两种检查方法;超声检查符合率为79.71%,明显高于钼靶X线检查的52.31%(P<0.05)。结论:磁共振检查效果较其它两种方法好,3者联合应用,能有效为乳腺癌保乳术病例提供指导。Objective：To investigate the clinical effect of magnetic resonance imaging, color Doppler ultra- sound and molybdenum target X-ray exam on breast conserving surgery. Methods：Selected 70 cases of breast cancer protection conserving surgery patients from in our hospital as research object, all of them were confirmed by patho iogical examination. 65 patients received preoperative mammography, 69 cases received preoperative color Doppler ultrasound examination, 60 eases achieved preoperative magnetic resonance imaging （MRI） ,observed three groups＇ manifestations performance and accuracy of check. Results：There were obvious difference between X-ray mammogra- phy and color Doppler ultrasound on examination of the diameter of the lesions with pathological examination （P〈0. 05） while, there were no obvious difference between magnetic resonance imaging and pathological lesions＇ diameter （P〉0. 05） ,the detection rate of MRI was 100.00%, it was higher than that in other two methods （P〈0.05）, the detection rate in magnetic resonance imaging （MRI） was 100.00%,it was significantly higher than that in other two methods, ultrasonic inspection＇s rate was 79.71%, it was obvious higher than molybdenum target X-ray （P〈0. 05）. Conclusion：The value of breast X-ray film, color Doppler ultrasound and magnetic resonance operation evalua tion are different, the combination of the three method can effectively provide guidance for breast cancer insurance up eration.

关 键 词：乳腺肿瘤/诊断 超声检查 乳房/方法 乳房X线摄影术/方法 磁共振成像/方法 @保乳术 

分 类 号：R737.9[医药卫生—肿瘤]