乳腺钼靶X线摄影在诊断早期乳腺癌中的应用价值分析  

Analysis of the Application Value of Mammography in the Diagnosis of Early Breast Cancer

作　　者：闫岩 王怀光[1] YAN Yan;WANG Huaiguang(Department of Radiology,Baicheng Central Hospital,Baicheng,Jilin Province,137000 China)

机构地区：[1]白城中心医院放射科,吉林白城137000

出　　处：《系统医学》2021年第16期130-132,共3页Systems Medicine

摘　　要：目的分析在早期乳腺癌患者的诊断中,采用乳腺钼靶X线摄影的应用价值。方法选取2019年1月—2020年6月该院收治的150例疑似乳腺癌患者作为该次研究对象,均采用乳腺彩超与乳腺钼靶X线摄影检查,随后以病理检查为金标准,对比两种方式的检测准确率,分析其应用价值。结果检查结束后,经病理确诊乳腺癌患者100例,经由乳腺彩超检测阳性例数为54例,阴性例数为96例,检测准确率为69.33%(104/150);经由乳腺钼靶X线检测阳性例数为78例,阴性例数为72例,检测准确率为85.33%(128/150),经对比乳腺钼靶X线检测准确率明显优于乳腺彩超检测准确率,差异有统计学意义(P<0.05)。而在经由乳腺钼靶X线检测检出的78例阳性患者中,直接征象为肿块型例数为52例,占检出总比66.67%,成簇分布恶性钙化例数为21例,占检出总比26.92%,局灶性非对称性致密影例数为5例,占检出总比6.41%。结论在早期乳腺癌患者的诊断中,采用乳腺钼靶X线摄影能够有效对于患者的乳腺组织结构进行展现成像,从而有效发现早期乳腺癌患者的微小钙化灶与肿块,从而提升检测检出率,临床诊断价值较高。Objective To analyze the application value of mammography in the diagnosis of early breast cancer patients.Methods 150 cases of suspected breast cancer patients admitted to the hospital from January 2019 to June 2020 were selected as the study subjects.They were all examined by breast color Doppler ultrasound and mammography,followed by pathological examination as the gold standard,and compared the two groups of detection accuracy rate of this method,and its application value was analyzed.Results After the examination,100 cases of breast cancer were diagnosed pathologically,54 cases were positive and 96 cases were negative by color Doppler ultrasound.The detection accuracy was 69.33%(104/150);the number of positive cases was 78 cases,the number of negative cases was 72 cases,and the detection accuracy rate was 85.33%(128/150).After comparison,the detection accuracy rate of mammography target X-ray detection was significantly better than that of breast color Doppler ultrasound.There were statistically significant differences(P<0.05).Among the 78 positive patients detected by mammography of mammography,52 cases had direct signs of mass,accounting for 66.67% of the total detected,and 21 cases of clustered malignant calcification,accounting for 26.92%,and the number of focal asymmetric compact shadows was 5 cases,accounting for 6.41%of the total detection ratio.Conclusion In the diagnosis of early breast cancer patients,mammography can effectively display and image the patient’s breast tissue structure,thereby effectively discovering microcalcifications and masses in early breast cancer patients,thereby improving detection rate,clinical diagnosis value is high.

关 键 词：早期乳腺癌 乳腺钼靶X线摄影 乳腺彩超 微小钙化灶 乳腺组织结构 

分 类 号：R445[医药卫生—影像医学与核医学]