钼铑双靶X线摄影乳腺肿块边缘征象及周围结构对良恶性病变的诊断价值

发布时间：2018-06-10 15:44

本文选题：钼铑双靶X线摄影 + 乳腺疾病　；参考：《解放军医药杂志》2016年09期

【摘要】：目的探讨钼铑双靶X线摄影乳腺肿块边缘征象及周围结构对良恶性病变的诊断价值。方法搜集2014—2015年度经手术及病理证实的220例乳腺肿块患者的临床资料,回顾性分析钼铑双靶X线摄影乳腺肿块边缘征象及周围结构情况,分析X线征象在良恶性病变中的检出率差异及X线征象的良恶性诊断结果与病理诊断间的一致性。结果边缘清晰、周围结构正常在X线诊断良性患者的检出率高于X线诊断恶性患者(P0.01);边缘浸润、星芒状及周围结构扭曲在X线诊断恶性患者的检出率高于X线诊断良性患者(P0.01)。边缘浸润、星芒状及周围结构扭曲在恶性病变的检出率高于良性病变(P0.01)。乳腺肿块边缘征象及周围结构在良恶性病变诊断中的敏感度、特异度、准确性、阳性预测值及阴性预测值分别为86.4%、91.8%、89.1%、91.3%、87.1%。X线征象的良恶性诊断结果与病理诊断具有较好的一致性(Kappa=0.782,P0.001)。结论钼铑双靶X线摄影乳腺肿块边缘征象及周围结构对良恶性病变的鉴别中具有重要价值,该检查简单、易操作,具有重要的临床意义。
[Abstract]:Objective to investigate the diagnostic value of margin signs and peripheral structure of mammography with molybdenum-rhodium double-target mammography for benign and malignant lesions. Methods the clinical data of 220 patients with breast masses confirmed by surgery and pathology in 2014-2015 were collected and the marginal features and surrounding structure of mammography with molybdenum rhodium double target radiography were analyzed retrospectively. To analyze the difference of the detection rate of X-ray signs in benign and malignant lesions and the consistency between the results of benign and malignant diagnosis of X-ray signs and pathological diagnosis. Results the positive rate of normal peripheral structure in benign patients was higher than that in malignant patients diagnosed by X ray, and the detection rate of margin infiltration, star and surrounding structure distortion in X-ray diagnosis of malignant patients was higher than that in X-ray diagnosis of benign patients (P 0.01). The detection rate of marginal invasion, stellate and surrounding structure distortion in malignant lesions was higher than that in benign lesions (P 0.01). The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of the marginal signs and surrounding structures of breast masses in the diagnosis of benign and malignant lesions were 86.4and 91.81.The results of the benign and malignant diagnosis of the X-ray signs were 91.3 and 87.1respectively, which were in good agreement with the pathological diagnosis. Conclusion the marginal signs and surrounding structures of mammography with molybdenum rhodium double target radiography are of great value in the differential diagnosis of benign and malignant lesions. This examination is simple, easy to operate and has important clinical significance.
【作者单位】：宝鸡市中心医院医学影像科;
【基金】：宝鸡市卫生局科研立项课题(2013-07)
【分类号】：R730.44;R737.9

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