全数字化X线摄影及术前定位在临床触诊阴性乳腺病变中的应用.pdfVIP

1466 J Bengbu Med Coll,November2013,Vol.38,No.11 [文章编号] 1000-2200(2013)11-1466-05 ·影像医学· 全数字化X线摄影及术前定位 在临床触诊阴性乳腺病变中的应用 1 2 2 王玲玲 ,顾素英 ,高之振 [摘要]目的:探讨全数字化乳腺摄影(FFDM)及术前定位技术对临床触诊阴性乳腺病变(NPBL)的诊断价值。 方法:NPBL 147例均在FFDM引导下行术前定位,术后病理检查。 结果:147例中共 151个乳腺病变,149个一次定位成功,2个二次定位 成功,满意率98.6%。 所有定位病灶中146例一次手术切除成功。 恶性肿瘤40个,良性病变111个。 FFDM及其定位系统对 NPBL 的诊断准确度、敏感度、特异度、阳性预测值和阴性预测值分别为72.2%、90.0%、65.8%、48.6%、94.8%。 钙化的形 态、分布、边缘及结节的形态、边缘、密度在鉴别良恶性NPBL 中差异均有统计学意义(P0.05~P0.01)。 结论:FFDM引导 下术前定位技术对NPBL定位准确、创伤小,操作简单,能够指导临床准确切除病灶。 [关键词]乳腺疾病;X线摄影术;穿刺术 [中国图书资料分类法分类号] R655.8　 　 　 [文献标志码]A The application value of full-field digital mammography and preoperative localization in nonpalpable breast lesions 1 2 2 WANG Ling-ling ,GU Su-ying ,GAOZhi-zhen (1.Department of Radiation,BengbuMedical College,BengbuAnhui233030; 2.Department of Radiology,The FirstAffiliated Hospital of BengbuMedical College,BengbuAnhui233004,China) [Abstract]Objective:Toevaluatethevalueoffull-fielddigital mammography(FFDM)andpreoperativelocalizationinthediagosisof nonpalpable breast lesions (NPBL). Methods:NPBL in 147 patients were located by FFDM,and confirmed by postoperative pathological results.Results:One hundred andfifty-one lesionswerefound in 147 patients,149 and2 lesionswere successfully located at first time and the second,respectively. The satisfaction rate was 98.6%. One hundreed and forty-six lesions were successfully resected.Breast carcinoma in 40 lesions and benign tumor in 111 lesions were found.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of NPBL in