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作 者:王如华 张焱[1] 程敬亮[1] 黄荟玉 李晓茗 Wang Ruhua;Zhang Yan;Cheng Jingliang;Huang Huiyu;Li Xiaoming(Department of Magnetic Resonance,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
机构地区:[1]郑州大学第一附属医院磁共振科,郑州450052
出 处:《中华医学美学美容杂志》2023年第1期11-14,共4页Chinese Journal of Medical Aesthetics and Cosmetology
摘 要:目的:探讨乳腺钼靶、超声、MRI在硅胶假体植入乳房后发生乳腺癌的诊断评估。方法:2014年3月至2021年10月,郑州大学第一附属医院磁共振科收集具有完整临床及影像学资料的硅胶假体植入后女性乳腺癌患者20例(年龄38~49岁,平均44岁),分析乳腺钼靶、超声、MRI对硅胶假体和病变的显示情况,并比较3种影像学方法对硅胶假体植入后乳腺癌病变的检出率、诊断准确率、漏诊率之间的差异。结果:与乳腺钼靶相比,超声和MRI均能完整显示假体与乳腺病变;钼靶、超声、MRI三者之间病变检出率、诊断准确率、漏诊率之间差异均有统计学意义(均P<0.05),其中MRI对硅胶假体植入后乳腺癌病变检出率、诊断准确率比钼靶高,漏诊率比钼靶低,差异均有统计学意义(均P<0.05)。结论:超声和MRI对硅胶假体植入后乳腺癌的评估优于乳腺钼靶,MRI在指导临床诊疗方面更具优势。Objective To investigate the diagnostic value of X-ray mammography,ultrasound and MRI in breast cancer with silicone implants.Methods The clinical and imaging data of 20 patients with breast cancer in women with silicone implants in the First Affiliated Hospital of Zhengzhou University from March 2014 to October 2021 were analyzed retrospectively.The mammography,ultrasound and MRI findings were analyzed,and the differences in detection rate,diagnostic accuracy and omission diagnostic rate of breast cancer in women with implants were compared among the three imaging methods.Results Compared with mammography,both ultrasound and MRI were able to display the prosthesis and breast lesions completely.There were significant differences in detection rate,diagnostic accuracy and omission diagnostic rate among mammography,ultrasound and MRI.And the detection rate and diagnostic accuracy of MRI in breast cancer in women with implants were higher than those of mammography,and the omission diagnostic rate was lower.Conclusions Ultrasound and MRI are superior to mammography in evaluating breast cancer after silicone prosthesis implantation,and MRI has more advantages in guiding clinical diagnosis and treatment.
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