發(fā)布時間：2018-06-12 23:13

  本文選題：乳腺X線檢查 + 自動乳腺容積超聲　； 參考：《中國腫瘤臨床》2017年19期

【摘要】：目的:探討乳腺X線(mammography)與自動乳腺容積超聲(automated breast ultrasound system,ABUS)檢查對病變的檢出效能。方法:收集2016年7月至2016年9月142例天津醫(yī)科大學腫瘤醫(yī)院經(jīng)術(shù)后病理證實的乳腺良惡性病變患者的臨床資料,共149個病變納入研究,比較術(shù)前患者乳腺X線和ABUS檢查對病變的檢出率。結(jié)果:乳腺X線和ABUS檢查對病變總檢出率分別為87.2%(130/149)和98.0%(146/149),兩者之間差異具有統(tǒng)計學意義(P0.05)。乳腺X線和ABUS檢查對乳腺癌的檢出率分別為91.1%(92/101)和97.0%(98/101),兩者之間差異無統(tǒng)計學意義(P0.05);乳腺X線和ABUS檢查對良性病變的檢出率分別為79.2%(38/48)和100.0%(48/48),兩者之間差異具有統(tǒng)計學意義(P0.05)。ABUS在致密型乳腺中的病變總檢出率及乳腺癌、良性病變檢出率分別為97.7%(126/129)及96.5%(82/85)、100.0%(44/44),乳腺X線檢查分別為86.0%(111/129)及90.6%(77/85)、77.3%(34/44),差異均具有統(tǒng)計學意義(P0.05)。乳腺X線檢查漏診的為乳腺致密組織和腺體深面的病變,ABUS檢查漏診的多為鈣化型病變。結(jié)論:ABUS檢查對病變總檢出效能及致密型乳腺中的病變檢出效能均高于乳腺X線檢查,漏診的病變以鈣化為主要影像學表現(xiàn),乳腺X線檢查對鈣化型病變的檢出具有獨特優(yōu)勢。乳腺X線與ABUS檢查在乳腺癌篩查中具有一定的互補作用。
[Abstract]:Objective: to investigate the effectiveness of mammography and automated breast ultrasound system ABUSS in detecting lesions. Methods: from July 2016 to September 2016, 142 patients with benign and malignant breast lesions confirmed by pathology were collected from Cancer Hospital of Tianjin Medical University, and 149 lesions were included in the study. To compare the detection rate of breast X-ray and ABUS before operation. Results: the total detection rate of mammography and ABUS were 87.2 / 149 and 98.0 / 146 / 149 respectively. The difference between them was statistically significant (P 0.05). The detection rates of mammography and ABUS for breast cancer were 91.2 / 101) and 97.0 / 98 / 101, respectively. There was no significant difference between them (P 0.05); the positive rate of mammography and ABUS for benign lesions were 79.2% 38 / 48) and 100.048% / 4848, respectively. The difference was statistically significant. The total detection rate of P0.05U. ABUS in dense mammary gland and breast cancer. The detectable rates of benign lesions were 97.7 / 126 / 129) and 96.555 / 82 / 85 / 100.010 / 44, respectively. The mammograms were 86.0 / 121 / 129) and 90.6% 77 / 85 / 77.3 / 44, respectively. The difference was statistically significant (P0.05). Breast X-ray examination missed the lesions of dense breast tissue and deep gland. ABUS was mostly calcified lesions. Conclusion the detection efficiency of the 7% ABUS examination is higher than that of the breast X-ray examination. Calcification is the main imaging manifestation in the missed lesions, and mammography has a unique advantage in the detection of calcified lesions. Mammography and ABUS are complementary to each other in breast cancer screening.
【作者單位】： 天津醫(yī)科大學腫瘤醫(yī)院乳腺影像診斷科 國家腫瘤臨床醫(yī)學研究中心 天津市腫瘤防治重點實驗室 天津市惡性腫瘤臨床醫(yī)學研究中心 乳腺癌防治教育部重點實驗室;
【基金】：天津市抗癌重大科技專項資金項目(編號:12ZCDZSY16000)資助~~
【分類號】：R445.1;R730.44;R737.9
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本文編號：2011465