摘要
目的探讨超声及多层螺旋CT在乳腺疾病检查中的诊断价值。方法选取我院乳腺疾病患者115例,分别对患者进行超声和多层螺旋CT诊断,采用经容积再现(volume rendering,VR)、表面遮盖显示(surface shadow display,SSD)、多平面重建(Multiplanar,MPR)处理图像,并且使用超声观察患者有无肿块,肿块的大小以及患者的回声边界等影像学特征。将诊断结果与病理特征结果想比较,计算诊断符合率。结果通过超声诊断乳腺疾病患者发现诊断符合率为60.8%,其中乳腺癌为5例,纤维瘤为40例,乳腺增生为15例,乳腺炎为10例。通过多层螺旋CT诊断乳腺疾病患者发现诊断符合了为70.4%,发现乳腺癌为6例,纤维瘤为45例,乳腺增生为18例,乳腺炎为12例,通过超声联合多层螺旋CT诊断乳腺疾病患者发现诊断符合了为93.9%,发现乳腺癌为9例,纤维瘤为65例,乳腺增生为20例,乳腺炎为14例。结论超声和多层螺旋CT在对乳腺疾病的诊断中有重要价值,可以在临床上使用两者联合诊断乳腺疾病。
Objective To evaluate the diagnostic value of ultrasound and multi-slice spiral CT in breast disease. Methods Ventical and multi-slice spiral CT were performed in 115 patients with breast disease. The results were analyzed by volume rendering （VR）, surface shadow display （SSD）, multiplanar （Multiplanar, MPR）, and the use of ultrasound to observe the patient with or without mass, mass size and the patient＇s echo boundary and other imaging features. The diagnostic results were compared with the pathological features and the diagnostic coincidence rate was calculated. Results The diagnostic rate was 60.8% in patients with breast disease diagnosed by ultrasonography. There were 5 cases of breast cancer, 40 cases of fibroids, 15 cases of breast hyperplasia and 10 cases of mastitis. The diagnosis of breast cancer by multi-slice spiral CT was found to be 70.4%, 6 cases of breast cancer, 45 cases offibroids, 18 cases of breast hyperplasia, 12 cases of mastitis, by ultrasound combined with multi-slice spiral CT Breast disease patients found that the diagnosis was 93.9%, found in 9 cases of breast cancer, fibrous tumors in 65 cases, 20 cases of breast hyperplasia, mastitis in 14 cases. Conclusion Ultrasonography and multi - slice spiral CT in the diagnosis of breast disease has important value, can be used in the clinical diagnosis of breast disease.
出处
《中国继续医学教育》
2017年第7期80-82,共3页
China Continuing Medical Education
关键词
超声
多层螺旋CT
乳腺疾病
诊断价值
Ultrasound
multislice spiral CT
breast disease
diagnostic value
