MR动态增强检查在评估乳腺肿块切除术后恶性残留中的临床价值研究  

Clinical Value of MR Dynamic Enhanced Examination in Evaluating Malignant Residual after Breast Tumor Resection

作　　者：徐剑 张强[1] 张辉[1] 刘照信 XU Jian;ZHANG Qiang;ZHANG Hui;LIU Zhao-xin(Baotou Cancer Hospital,Baotou,Inner Mongolia,014030)

机构地区：[1]包头市肿瘤医院,内蒙古包头014030

出　　处：《智慧健康》2018年第10期1-2,共2页Smart Healthcare

摘　　要：目的分析研讨MR动态增强检查在评估乳腺肿块切除术后恶性残留中的临床价值。方法随机从我院2015年8月至2017年3月收治的接受肿块切除术后,病理检查为恶性的患者48例纳入到讨论中,患者2次手术治疗前均接受MR动态增强检查,对照分析术后病理检查和术前MR动态增强检查结果。结果 MR动态增强检查显示局灶性、导管性、节段性、结节性有残留、无残留比较,P<0.05。MR动态增强检查诊断特异度为86.21%(25/29),灵敏度为36.84%(7/19),阴性预测值为67.57%(25/37),阳性预测值为77.78%(7/9)。结论乳腺肿块切除术后恶性残留症状术前接受MR动态增强检查可更为准确的判定是否残留癌灶,以及其病灶分布状况,为制定再次手术方案提供一定依据,应用价值高。Objective To analyze the clinical value of MR dynamic enhanced examination in the evaluation of malignant residue after breast lump resection. Methods Randomly treated in our hospital during August 2015 to March 2017 from the lumpectomy, pathological examination of 48 cases of malignant patients into the discussion, 2 patients before surgery underwent dynamic enhanced MR examination, comparative analysis of the postoperative pathological examination and preoperative dynamic enhanced MR examination results. Results MR dynamic enhanced examination showed focal, catheterization, segmental, nodular residual, no residual comparison, and P〈0.05. The diagnostic specificity of MR dynamic enhanced examination was 86.21%（25/29）, the sensitivity was 36.84%（7/19）, the negative predictive value was 67.57%（25/37）, and the positive predictive value was 77.78%（7/9）. Conclusion MR dynamic enhanced examination can make more accurate judgement of residual cancer and the distribution of lesions after breast mass resection. It will provide certain basis for developing reoperation plan and high application value.

关 键 词：恶性 残留 乳腺肿块切除术 MR动态增强 病理检查 

分 类 号：R737.9[医药卫生—肿瘤]