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目的:总结性探讨分析钼靶X线影像在乳腺疾病中的诊断价值。方法:研究对象为100例在该院经手术病理证实为乳腺疾病患者,分析患者的钼靶X线资料,观察患者病灶大小、位置、乳腺腺体类型分型、BI-RADS分类,将患者的手术病理结果和患者的钼靶X线影像资料进行对比。结果:钼靶X线影像对50例患者的病灶大小评估不准确;对37例患者的病灶位置评估不准确;钼靶X线诊断中间混合型和致密型乳腺的准确率为52%,诊断退化型乳腺的准确率为80%;钼靶X线影像对Ⅰ、Ⅱ、Ⅲ类、Ⅳ类、Ⅴ类的诊断符合率分别是27%,32%,74%,62%,100%。结论:钼靶X线影像在乳腺疾病中有一定的价值,然而其对病灶大小的评估不准确,病灶位置评估准确率偏低,对中间混合型和致密性的乳腺腺体类型分类不准,在临床工作中应该引起注意。
Objective: To summarize and analyze the diagnostic value of mammography in breast diseases. Methods: The study was performed in 100 patients with breast disease confirmed by surgery and pathology in this hospital. The mammographic X-ray data of the patients were analyzed. The size, location, classification of breast gland types and BI-RADS classification were observed. The surgical pathology results were compared with the mammographic data of the patients. Results: The size of the lesion in 50 cases was inaccurate. The evaluation of the lesion location in 37 cases was inaccurate. The accuracy of mammography in diagnosis of intermediate mixed and compact breast was 52% The accuracy of mammography was 80%. The coincidence rates of mammography in diagnosis of Ⅰ, Ⅱ, Ⅲ, Ⅳ and Ⅴ were 27%, 32%, 74%, 62% and 100% respectively. Conclusion: Molybdenum target X-ray image has some value in breast disease. However, its evaluation on the size of the lesion is not accurate and the accuracy of lesion location assessment is low, so it is not possible to classify the middle mixed and compact mammary gland types, In clinical work should pay attention.