局部加压摄影对发现乳腺疾病诊断价值.docVIP

局部加压摄影对发现乳腺疾病诊断价值摘 要 目的：探讨局部加压X线摄影在发现乳腺良恶性病变的价值。方法：在常规摄影的基础上，对可疑病变及部分病变进行局部加压摄影的患者142例，同时对病变进行局部放大观察及使用BI-RADS评级，将加压前后的两种图像做对照性研究，使用?X?2?检验。结果：加压前明确诊断70例，其中诊断恶性病变BI-RADS 5级26例，诊断BI-RADS 2～3级44例，需要活检的BI-RADS 4a～4c级病灶54例，有20例病灶乳腺常规X线片(头足位+内外斜位)对其不能评价的BI-RADS 0级病灶，评价结果与病理结果符合率约48.2%。加压后明确诊断126例，其中诊断BI-RADS 5级40例，诊断BI-RADS 2～3级86例，需要活检的BI-RADS 4a～4c级病灶14例，有4例乳腺常规X线片对其不能评价的BI-RADS 0级病灶，评价结果与病理结果符合率约87.9%。两组评价结果差异具有显著性(?P?＜0.01)。结论：局部加压摄影对发现乳腺疾病的诊断价值优于常规乳腺片，是乳腺摄影中重要的辅助方法。 关键词 局部加压摄影 乳腺X线摄影 乳腺疾病 诊断 doi:10.3969/j.issn.1007-614x.2012.01.253 Abstract Objective:to study the local pressure X-ray photography found benign and m alignant lesions in the breast of value.Methods:in January 2010～2011 years during the month of may,in conventional photography of the foundation,on the suspicious lesions and some local lesion of 142 cases of pressure photography for material,at the same time for local lesion amplification observation and use BI-RADS rating,will the before and after two kind of image compression comparison studies,use ?X?2? inspection.Results:70 cases before the pressure diagnosis,including m alignant lesions BI-RADS5 diagnosis of level of 26 patients,diagnosis RADS2-tier 3 BI-44 cases,need biopsy RADS4a BI-4 grade c 54 lesions,20 cases of focal breast conventional X-ray(head foot a+inside and outside of the inclined a)can not evaluate BI-the RADS0 level lesions,the evaluation results and pathological results was about 48.2%.After pressure clear diagnosis 126 patients,of whom BI-level RADS5 diagnosis in 40 cases,BI-RADS2 diagnosis-tier 3 86 cases,need biopsy RADS4a BI-4 grade c lesions in 14 cases,4 cases(breast conventional X-ray of the can not evaluate BI-RADS0 level lesions,the evaluation results and pathological results was about 87.9%.Two groups of evaluation result has significant difference(?P?＜0.01).Conclusion:local pressure of mammary gland disease found photography diagnostic value superior to mammary gland piece,is mammary gland photography important su