探讨钼靶X线联合MRI检查对乳腺癌淋巴结转移的诊断效果.PDFVIP

《中国医学前沿杂志 （电子版）》2015 年第7 卷第3 期 ● 论著 ● 117 探讨钼靶X 线联合MRI 检查对乳腺癌 淋巴结转移的诊断效果 李 （宝鸡市中心医院　放射科，陕西　宝鸡　72 1000 ） 【摘要】目的 探讨钼靶X 线联合MRI 检查对乳腺癌淋巴结转移的诊断效果。方法 选取本院2008 年5 月至2014 年5 月收治的497 例乳腺癌患者，比较术前钼靶X 线、MRI 检查及联合检查与术后 病理诊断的符合情况。结果 钼靶X 线检查检出淋巴结转移4 16 例，无转移81 例，诊断灵敏度为 94.1%，特异性为35.4%，总体符合率为73.4% ；MRI 检查检出淋巴转移397 例，无转移100 例，诊断 灵敏度为94.7%，特异性为96.3%，总体符合率为95.0% ；钼靶X 线联合MRI 检查灵敏度为97.6%， 特异性为93.2%，总体符合率为96.8% 。结论 钼靶X 线联合MRI 检查在乳腺癌淋巴结转移的诊断中 具有补充作用，可弥补单一诊断的缺陷，达到更佳的诊断效果，且安全性更高，对改善患者预后和提 高其生活质量均具有重要意义。 【关键词】钼靶X 线；MRI ；乳腺癌 ；淋巴结转移 ；诊断 To investigate the effect of diagnostic X-ray mammography combined with MRI examination of lymph node metastasis in breast cancer LI Kun (Department of Radiology, Baoji Central Hospital, Shaanxi, Baoji 721000, China) Corresponding author: LI Kun, E-mail: 415991023@ Abstract Objective To explore the effect of X-ray mammography combined with MRI diagnosis of 【 】 　 breast cancer lymphatic metastasis. Method　497 cases of breast cancer in our hospital from May 2008 to May 2014, preoperative X-ray mammography, MRI examination and a joint inspection with the pathological diagnosis of compliance. Result　X-ray mammography detection of lymph node metastasis in 416 cases, 81 cases without metastasis, the diagnostic sensitivity was 94.1%, specificity was 35.4%, the total coincidence rate was 73.4%; MRI examination in detection of lymph node metastasis in 397 cases, 100 cases without metastasis, the diagnostic sensitivity was 94.7%, specificity was 96.3%, the total coincidence rate was 95.0%; X-ray mammography combined with MRI to check the sensitivity was 97.6%, specificity was 93.2%, the total coincidence rate was 96.8%. Conclusion　X-ray mammography combined with MRI in breast cancer lymph node has a supplementary role in diagnosis of metastasis, defects can compensate for the single diagnosis to diagnosis, better effect, and higher safety, the prognosis and survival qualit