X线断层摄影联合磁共振诊断乳腺导管内乳头状癌的价值  

Value of X-ray Tomography Combined with Magnetic Resonance Imaging in the Diagnosis of Intraductal Papillary Carcinoma of the Breast

作　　者：洪彩煌 Hong Caihuang(Quanzhou First Hospital,FuJian Quanzhou 362000,China)

机构地区：[1]泉州市第一医院,福建泉州362000

出　　处：《医疗装备》2022年第16期1-3,7,共4页Medical Equipment

摘　　要：目的 分析X线断层摄影联合磁共振在乳腺导管内乳头状癌诊断中的应用价值。方法 回顾性分析2019年12月至2021年12月泉州市第一医院收治的96例疑似乳腺导管内乳头状癌患者的临床资料,所有患者均行X线断层摄影、磁共振检查,以手术病理检查结果为金标准,比较X线断层摄影、磁共振单独与联合检查诊断乳腺导管内乳头状癌的效能。结果 96例疑似乳腺导管内乳头状癌患者,经手术病理检查诊断阳性40例,阴性56例。以手术病理检查结果为金标准,X线断层摄影联合磁共振诊断乳腺导管内乳头状癌的灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于单独诊断,差异有统计学意义(P<0.05);X线断层摄影诊断乳腺导管内乳头状癌的灵敏度、特异度、准确度、阳性预测值、阴性预测值与磁共振比较,差异均无统计学意义(P>0.05)。结论 相较于单独诊断,X线断层摄影联合磁共振诊断乳腺导管内乳头状癌的效能更高。Objective To analyze the application value of X-ray tomography combined with magnetic resonance imaging in the diagnosis of intraductal papillary carcinoma of the breast.Methods The clinical data of 96 patients with suspected intraductal papillary carcinoma of the breast admitted to the First Hospital of Quanzhou from December 2019 to December 2021 were retrospectively analyzed. All patients underwent X-ray tomography and magnetic resonance examination, with surgical pathological examination results as the gold standard. To compare the efficacy of X-ray tomography and magnetic resonance imaging alone and in combination in the diagnosis of intraductal papillary carcinoma of the breast.Results 96 patients with suspected breast intraductal papillary carcinoma, 40 cases by surgery pathology examination in the diagnosis of positive, negative 56 cases. Taking the results of surgical pathology as the gold standard, the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of X-ray tomography combined with magnetic resonance in the diagnosis of intraductal papillary carcinoma of breast were higher than those of single diagnosis, and the differences were statistically significant(P< 0.05). There was no significant difference in the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of X-ray tomography in the diagnosis of breast intraductal papillary carcinoma compared with magnetic resonance imaging(P> 0.05).Conclusion X-ray tomography combined with magnetic resonance imaging is more effective in the diagnosis of intraductal papillary carcinomaof the breast compared with the diagnosis alone.

关 键 词：乳腺导管内乳头状癌 X线断层摄影 磁共振 

分 类 号：R737.9[医药卫生—肿瘤]