MRI增強(qiáng)掃描和X線鉬靶應(yīng)用于早期乳腺癌診斷價(jià)值對(duì)比研究
發(fā)布時(shí)間:2018-03-29 05:21
本文選題:X線鉬靶 切入點(diǎn):MRI增強(qiáng)掃描 出處:《四川醫(yī)學(xué)》2016年06期
【摘要】:目的分析比較MRI增強(qiáng)掃描和X線鉬靶應(yīng)用于早期乳腺癌的診斷價(jià)值。方法回顧性分析在我院診斷的早期乳腺癌患者共120例,均進(jìn)行MRI增強(qiáng)掃描和X線鉬靶檢查,對(duì)比觀察兩種不同檢查方式的診斷結(jié)果。結(jié)果120例早期乳腺癌X線鉬靶檢查顯示49例患者病變形態(tài)多為不規(guī)則形、分葉狀、星芒狀,邊緣多數(shù)可見(jiàn)輕微或明顯的毛刺和(或)浸潤(rùn),36例患者腫塊內(nèi)、近旁或塊影內(nèi)、外伴有惡性鈣化;MRI增強(qiáng)檢查顯示63例病灶表現(xiàn)為不規(guī)則邊緣毛刺(Ⅲ型強(qiáng)化曲線46例、Ⅱ型強(qiáng)化曲線17例);36例邊緣光滑類圓形、淺分葉腫塊(Ⅱ型強(qiáng)化曲線8例、Ⅲ型強(qiáng)化曲線28例);局灶簇樣強(qiáng)化6例(Ⅲ型強(qiáng)化曲線),其它強(qiáng)化形式9例(Ⅱ型強(qiáng)化曲線1例、Ⅲ型強(qiáng)化曲線8例)。120例早期乳腺癌的患者X線鉬靶正確診斷71例,MRI增強(qiáng)掃描正確診斷114例,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。對(duì)于MRI增強(qiáng)掃描診斷的滿意度明顯高于X線鉬靶診斷的滿意度,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 MRI增強(qiáng)掃描對(duì)早期乳腺癌具有較高的正確診斷率,而X線鉬靶攝影對(duì)微小鈣化檢出率高,可為MRI增強(qiáng)掃描提供重要的補(bǔ)充信息,兩種方法聯(lián)合應(yīng)用對(duì)早期乳腺癌的診斷具有非常重要的臨床意義。
[Abstract]:Objective to analyze and compare the diagnostic value of MRI enhanced scan and mammography in early stage of breast cancer. Methods 120 cases of early breast cancer diagnosed in our hospital were retrospectively analyzed. Results X-ray molybdenum target examination of 120 cases of early breast cancer showed that 49 cases had irregular shape, lobular shape and star shape. In most cases, slight or obvious burrs and / or infiltrations were found in 36 cases, near or in the shadow, and with malignant calcification on MRI enhanced MRI in 63 cases, the lesions showed irregular marginal burrs (type 鈪,
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