乳腺X线补充摄影临床应用价值的初步探讨

目的：探讨乳腺补充摄影对乳腺疾病的应用价值。方法：对118例行常规乳腺摄影显示欠佳者根据成像需要进行补充摄影,对照补充摄影与常规体位摄影对病灶的显示。结果：118例中13例行夸大位摄影,外侧病灶显示完全;9例行尾头位摄影,乳腺显示充分,其中3例显示范围扩大到胸大肌;8例行侧位摄影,病灶显示完全;25例行双倾位摄影,其中24例乳房显示充分;63例行点压位摄影,微钙化灶点压放大23例,致密型乳房内疑似病灶点压28例,腋窝点压12例,点压局部显示充分。平均经济成本增加1/10,平均受检剂量增加13%。结论：合理应用乳腺X线补充摄影可减少显示盲区,提高病灶检出率。

Initial experiences about applicable value of additional mammography

Objective：To discuss the value supplementary mammography corresponding to the conventional mammography.Methods： All 118 eases with worse images in conventional mammography underwent supplementary mammography, The lesions and visible regions of both methods were compared and analyzed.Results：Of the 118 cases, 13 underwet Exaggerated Cranio Candal （XCCL）, in which all of the outside lesjons were developed entirely; in 9 cases CandoGanial（from below） （FB）, the lesions were detected and the visible regions extended pectoral; in 8 cases performet of MedioLateral（ML）, the lesions were visible; in 25 cases subjected to Roll Medial Oblique （RMO）, 24 were developed fully; As for the 63 cases subjected to Spot（S）, the partial regions were developed distinctly. Of these, 23 had microcalcifications, 28 had masses in compact breast, and 12 had lesions in axillae. In the work, the average cost was increased by one-tenth and the average dose was in creased by 13%. Conclusion：Appropriate supplementary mammography can decrease the blind area and offer high visibility of lesions.