乳腺X射线摄影检查在乳腺不定性钙化随访中的价值研究  

A study on the value of mammography in the follow-up of indeterminate breast calcifications

作　　者：邓玉云 陈对梅[1] 刘亚芝 姚瑶 DENG Yuyun;CHEN Duimei;LIU Yazhi;YAO Yao(Department of Radiology,Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510000,China)

机构地区：[1]广东省第二中医院放射科,广东广州510000

出　　处：《影像研究与医学应用》2024年第19期11-13,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨通过乳腺X射线摄影检查对乳腺不定性钙化的随访,分析其在乳腺良恶性病变中的鉴别诊断价值。方法:回顾性分析2020年4月—2023年1月在广东省第二中医院行乳腺X射线摄影检查发现不定性钙化并至少进行1次乳腺X射线摄影随访的56例患者,经手术病理证实后,分为良性组及恶性组,其中恶性组19例,良性组37例。通过以下4项指标对两组患者进行分析研究:(1)两次随访不定性钙化数量是否增加;(2)两次随访钙化增加的数目;(3)两次随访不定性钙化形态是否变化;(4)是否新增腺体密度增高。结果:恶性组钙化数量增加的发生率为78.95%,高于良性组的43.24%;恶性组钙化增加数量大于良性组;恶性组钙化形态变化的发生率为78.95%,大于良性组的13.51%;恶性组局部腺体密度增高的发生率为68.42%,大于良性组的18.92%,差异均有统计学意义(P<0.05)。结论:通过乳腺X射线摄影检查对乳腺不定性钙化进行随访,发现乳腺不定性钙化的数量、形态及局部腺体密度变化特点在鉴别诊断乳腺良恶性病时具有一定的价值。Objective To investigate the value of follow-up analysis of indeterminate breast calcifications by mammography in the differential diagnosis of benign and malignant breast lesions.Methods A total of 56 cases were retrospectively analyzed from April 2020 to January 2023,which were divided into benign and malignant groups,including 19 cases in the malignant group and 37 cases in the benign group,after the discovery of indeterminate calcifications by mammography and at least 1 follow-up mammogram at Guangdong Second Hospital of Traditional Chinese Medicine,which were confirmed by surgical pathology.The two groups of patients were analyzed by the following four indicators.(1)Whether the number of indeterminate calcifications increased between the two follow-ups.(2)The number of increased calcifications between the two follow-ups.(3)Whether the morphology of the indeterminate calcifications changed between the two follow-ups.(4)Whether there was a new increase in glandular density.Results The incidence of increased calcification in the malignant group was 78.95%,higher than 43.24%in the benign group;the increase in calcification in the malignant group was greater than that in the benign group;the incidence of calcification morphological changes in the malignant group was 78.95%,which was higher than 13.51%in the benign group;the incidence of increased local glandular density in the malignant group was 68.42%,which was higher than the benign group's 18.92%,and the differences were statistically significant(P<0.05).Conclusion Follow-up and analysis of indeterminate breast calcifications by mammography is of high value in the differential diagnosis of benign and malignant breast disease.

关 键 词：乳腺X射线摄影 不定性钙化 随访 

分 类 号：R445.3[医药卫生—影像医学与核医学]