天津医药

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X线钼靶对早期乳腺癌的诊断价值

张铁   

  1. 河北省 秦皇岛市第一医院
  • 收稿日期:2010-01-08 修回日期:2010-10-02 出版日期:2011-02-15 发布日期:2011-02-15
  • 通讯作者: 张铁

The diagnostic significance of mammography in non－palpation breast lesions

  • Received:2010-01-08 Revised:2010-10-02 Published:2011-02-15 Online:2011-02-15

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摘要： 目的　探讨乳腺钼靶X线摄片在早期乳腺癌保乳治疗的应用的价值。方法　选择85例触诊阴性早期乳腺癌保乳患者，随机分成B超诊断组（A组，42例）和X线钼靶诊断组（B组，43例），分别进行乳腺超声检查或钼靶X线摄片检查，并经穿刺活检或手术切除标本获得病理诊断。将不同检查方法发现的乳腺病灶进行了分析和比较。结果　B超检查检出乳腺癌率低于病理检查（68.75% VS 95.83%,P < 0.05），而钼靶X线摄片检查检出乳腺癌率与病理检查几乎无差异（86.27% VS 96.08%,P ＞ 0.05）， 钼靶X线摄片检查较B超检查更为准确(90.2% VS 72.92%)，敏感性(89.8% VS 71.74%)、阳性率(89.8% VS 71.74%)和切缘阴性率(98.04% VS 85.42%)更高（P < 0.05）。结论　钼靶X线摄片检查和超声检查，特别是钼靶X线摄片检查在触诊阴性的乳腺癌的早发现、早诊断、早治疗中发挥着重要作用，前者较有一定优势。合理应用乳腺影像学检查对于提高临床前期乳腺癌的检出率具有重要意义。

关键词: 乳房, 乳腺肿瘤, 触诊, 超声检查, 乳腺X线摄影术, 活组织检查

Abstract: 【Abstract】　Objective 　To explore the diagnostic significance of mammography in non－palpation breast lesions (NPBLs) . Methods 85 patients with non－palpable breast lesions were randomized into A group (to examined with sonography,42 cases) and B group (to examined with mammography,43 cases ).To get all the breast neoplasms’ biopsy through punctura or on operation and have the pathological diagnosis.Then to analyze the result. Result The breast carcinoma’ s detection rate of group A was lower than that of pathological diagnosis（68.75% VS 95.83%，P < 0.05）,but the breast cancer’ s detection rate of group B has no significant difference with pathological diagnosis（86.27% VS 96.08%,P ＞ 0.05）. To examined the breast lesions with mammography has more accuratation (90.2% VS 72.92%)，sensitivity(89.8% VS 71.74%)，breast cancer’ s positive rate (89.8% VS 71.74%)and cut edge’s negative rate(98.04% VS 85.42%)（P < 0.05）. Conclusion Mammography and sonography , especially mammography which has some superiority , play an important role in detection , diagnosis and treatment of non－palpable breast cancer in early stage.

Key words: mammary, breast neoplasms, palpation, ultrasonography, mammography, biopsy