乳腺数字摄影中钙化灶对良恶性病变的诊断价值

发布时间：2018-02-15 22:39

本文关键词： 乳腺疾病钙化乳房X线摄影术　出处：《中国医学影像技术》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨数字钼靶X线检查钙化灶对良恶性乳腺病变的诊断价值。方法回顾性分析206例患者的乳腺钼靶X线影像资料,参照乳腺影像报告和数据系统(BI-RADS)评估分类,分析良恶性病变钙化灶的形态、分布特点及其他阳性征象的差异。结果钙化灶形态方面,斑点样、无定形或模糊、粗糙不均质、细小多形性、细线或细线分支状钙化的恶性率分别为10.96%(8/73)、39.66%(23/58)、69.23%(9/13)、78.79%(26/33)、96.56%(28/29)。钙化灶分布方面,弥漫/散在、区域性、簇状、段样钙化的恶性率分别为0、18.19%(4/22)、49.50%(50/101)、72.73%(40/55)。206例中,124例无其他阳性征象,82例伴有其他阳性征象。有无其他阳性征象患者钙化灶形态、分布方面良恶性差异均有统计学意义(P均0.05)。结论乳腺钙化的形态、分布特点有助于评估乳腺病变的恶性度,当伴随其他阳性征象时,恶性度明显提高。
[Abstract]:Objective to evaluate the diagnostic value of digital mammography in the diagnosis of benign and malignant breast lesions. Methods the mammography data of 206 patients were analyzed retrospectively and classified according to the mammography report and data system (BI-RADS). The morphology, distribution and other positive signs of calcified lesions in benign and malignant lesions were analyzed. Results the morphology of calcification foci was speckled, amorphous or fuzzy, rough and uneven, small and pleomorphic. The malignant rate of branched calcification of thin thread or fine line is 10.96 / 73 / 39.66% / 23 / 58 / 69.23% / 78.79% / 78.79% respectively. The distribution of calcification foci is diffuse / scattered, regional, cluster-shaped. The malignant rates of segmental calcification were 0.18.19 / 22 / 49.50 respectively, including 50 / 101 / 72.73 / 55 / 206 cases. Of the 206 cases, 124 cases had no other positive signs and 82 cases had other positive signs. Whether there were other positive signs or not, the shape of calcification foci was found. Conclusion the morphology and distribution characteristics of breast calcification are helpful to evaluate the malignancy of breast lesions, and the malignant degree is obviously increased when accompanied by other positive signs.
【作者单位】：宁波市妇女儿童医院放射科;
【分类号】：R737.9;R730.44

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