局部点压放大摄影对乳腺疾病的诊断价值  

Diagnostic Value of Local Point-pressure Magnifying Photography for Breast Diseases

作　　者：许艳蕾 张玲[1] XU Yan-lei;ZHANG Ling(Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210029 China)

机构地区：[1]南京医科大学第一附属医院放射科,江苏南京210029

出　　处：《中外医疗》2019年第3期181-183,共3页China & Foreign Medical Treatment

基　　金：江苏高校优势学科建设工程资助项目(JX10231801)

摘　　要：目的探讨常规乳腺钼靶摄影后加做局部点压放大摄影对乳腺疾病的诊断价值。方法回顾性分析从2014年1月—2018年8月该院乳腺外科具有明确术后病理的肿瘤患者60例,将其常规乳腺头尾轴位(caudal,CC)、内外侧斜位(medio-lateral oblique,MLO)的诊断结果及加做局部点压放大摄影后的诊断结果,分别与病理结果进行比较。结果采用常规头尾轴位(caudal,CC)、内外侧斜位(medio-lateral oblique,MLO)摄影,能够明确检出50例,病灶检出率为83.3%(50/60),其中良性肿瘤29例,恶性肿瘤21例。加做局部点压放大摄影后能够明确诊断出58例,病灶检出率为96.7%(58/60),其中良性肿瘤35例,恶性肿瘤23例。其中加做局部点压放大摄影后多检出的8例患者中:3例呈现致密腺体中的微小病灶;3例病灶分界不清,内有微小钙化;另外2例病灶位置较深,靠近胸壁。结论加做局部点压放大摄影有利于微小病灶和位置较深病灶的检出,对病灶的边缘结构显示更好,为临床对病灶进行良恶性分级及相关疾病的治疗提供可靠依据。Objective To investigate the diagnostic value of local mammography after local mammography. Methods Retrospective analysis from January 2014 to August 2018, 60 patients with tumors with clear postoperative pathology in our hospital were treated with conventional mammary axon (caudal, CC) and medial lateral oblique position (medio-lateral oblique, MLO) and the results of localized point-pressure magnified photography were compared with pathological results. Results Using conventional caudal axis (caudal, CC) and medial-lateral oblique (MLO) photography, 50 cases were clearly detected, and the detection rate of lesions was 83.3%(50/60), of which benign tumors 29 cases, 21 cases of malignant tumors. After adding local point pressure magnifying photography, 58 cases were diagnosed clearly. The detection rate of the lesion was 96.7%(58/60), including 35 benign tumors and 23 malignant tumors. Among the 8 patients who were detected by local point-pressure magnifying photography, 3 cases showed small lesions in dense glands;3 cases had unclear boundary and tiny calcification;the other 2 cases were deeper and closer to chest wall. Conclusion Adding local point-pressure magnifying photography is conducive to the detection of small lesions and deep lesions, showing better marginal structure of the lesions, providing a reliable basis for clinical treatment of benign and malignant lesions and related diseases.

关 键 词：乳腺 局部点压放大 检出 分级 

分 类 号：R445[医药卫生—影像医学与核医学]