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钼靶X线、超声及MRI在乳腺癌早期诊断中的应用
引用本文:李桂军. 钼靶X线、超声及MRI在乳腺癌早期诊断中的应用[J]. 国际医药卫生导报, 2016, 0(14): 2154-2157. DOI: 10.3760/cma.j.issn.1007-1245.2016.14.047
作者姓名:李桂军
作者单位:湖南省妇幼保健院, 长沙,410008
摘    要:目的 MRI、超声以及钼靶X线对于乳腺癌早期诊断的应用分析,研究3种检查方法对于乳腺癌早期诊断的意义.方法 选取本院2013年5月至2014年5月收治的42例乳腺癌患者的资料,将病理结果作为诊断的标准,分析和对比MRI、超声以及钼靶X线对于早期乳腺癌诊断准确性的差异.结果 42例乳腺癌钼靶X线诊断的符合率是83.33%(35/42),而超声是88.10% (37/42).15例选取MRI检查,其诊断的符合率是86.67%(13/15),这三者配合运用的诊断符合率为97.62%(41/42),差异无统计学意义(P>0.05),两者配合检查和单一运用钼靶X线或超声检查的差异有统计学意义(P<0.05).结论 乳腺癌早期在MRI、超声以及钼靶X线检查里均是不典型的表现,这3种方法为当前检查乳腺的主要手段,但是各有所不足,联合运用可以显著提高乳腺癌早期的诊断准确率.

关 键 词:磁共振成像  超声检查  乳房X线摄影术  乳腺肿瘤

Molybdenum target X-ray,ultrasound, and MRI in early diagnosis of breast cancer
Abstract:Objective To study the significance of molybdenum target X-ray,ultrasound,and MRI in the early diagnosis of breast cancer.Methods The clinical data of 42 patients with breast cancer treated at our hospital from May,2013 to May,2014 of were collected.The pathological results were set as diagnostic standard.The accuracy of molybdenum target X-ray,ultrasound,and MRI in the early diagnosis of breast cancer was analyzed.Results The diagnostic coincidence rate of molybdenum target X-ray was 83.33% (35/42) and that of ultrasound 88.10% (37/42).15 cases were checked with MRI;and the diagnostic coincidence rate of MRI was 86.67% (13/15).The diagnostic coincidence rate the combination of these three was 97.62% (41/42),with no statistical difference not in significance (P > 0.05).There were statistical differences between molybdenum target X or ultrasound and the combination of any two of these three (P < 0.05).Conclusions Early breast cancer in MRI,molybdenum target X-ray,and ultrasound has no typical performance.These three methods are main means to check mammary gland but all three have their own drawbacks.The combination of them can increase the accuracy of the early diagnosis of breast cancer.
Keywords:Magnetic resonance imaging (fmri)  Ultrasonic examination  Breast X-ray photography  Breast tumor
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