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(P<0.01);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(P<0.01)。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(P<0.01)。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,P<0.001)。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。
Objective To investigate value of silhouette signs and surrounding structures of breast lumps by mo-lybdenum-rhodium target x-ray radiography in diagnosis of benign and malignant lesions. Methods Clinical data of 220 patients with breast lumps, who were confirmed by operations and pathological results from 2014 to 2015, was collected. A retrospective analysis was performed for conditions of silhouette signs and surrounding structures of breast lumps by mo-lybdenum-rhodium target x-ray radiography, and detection rate of x-ray radiography in diagnosis of benign and malignant lesions and consistency between diagnostic results and pathologic diagnosis were also analyzed. Results By x-ray radio-graphy detection, detection rate of slick border and normal surrounding structures in benign lesions patients was higher than that in malignant lesions patients （ P〈0. 01 ）; detection rate in infiltrating border and spiculation and distortion structures in malignant lesions patients was higher than that in benign lesions patients （P〈0. 01）. Detection rate in infil-trating border and spiculation and distortion structures in malignant lesions patients was higher than that in benign lesions patients （P〈0. 01）. Sensitivity, specificity, accuracy, positive predictive value and negative predictive value of silhou-ette signs and surrounding structures of breast lumps in benign and malignant lesions were 86. 4%, 91. 8%, 89. 1%, 91. 3% and 87. 1% respectively. X-ray radiography had good concordance with pathologic diagnosis in diagnosis of be-nign and malignant lesions （Kappa=0. 782, P〈0. 001）. Conclusion Silhouette signs and surrounding structures of breast lumps by molybdenum-rhodium target x-ray radiography in diagnosis of benign and malignant lesions are simple and easily operated.
出处
《解放军医药杂志》
CAS
2016年第9期59-62,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
宝鸡市卫生局科研立项课题(2013-07)
关键词
钼铑双靶X线摄影
乳腺疾病
诊断
Molybdenum-rhodium target X-ray
Breast diseases
Diagnosis
