99mTc—MIBI乳腺显像与乳腺钼靶X线照相在乳腺癌诊断中的应用

目的：比较99mTc—MIBI乳腺显像与乳腺钼靶X线照相在乳腺癌诊断中的准确性，以找到一种乳腺癌诊断正确率更高的方法。方法：135例女性乳腺疾病患者术前均行乳腺钼靶X线照相和99mTc—MIBI乳腺显像检查，诊断结果与术后病理结果进行对照。结果：根据与术后病理结果比较99mTc—MIBI乳腺显像检测乳腺肿块的灵敏度93.3％、特异性90．3％、准确性92．6％，钼靶照相检测乳腺癌的灵敏度83．7％、特异性93．5％、准确性85．9％。结论：99mTc—MIBI乳腺显像与乳腺钼靶X线照相诊断乳腺肿块的准确性差异无统计学意义，但联合应用两种方法可以提高诊断乳腺肿块的准确性。

Application of breast 99mTc-MIBI scintigraphy and molybdenum mammography in the diagnosis of breast cancer

Objective: To compare the accurate rate of 99mTc-MIBI scintigraphy and molybdenum mammography of the breast and find a more correct method in the diagnosis of breast cancer. Methods: One hundred and thirty-five female pa-tients with breast lesion were enrolled in the study. All patients received molybdenum mammography and 99mTc-MIBI scintigra-phy examinations. Compared the result of the two methods with pathologic result after operation. Results: Compared with pathologic results,the sensitivity,specificity and accurate rate of 99mTc-MIBI scintigraphy and molybdenum target mammography are 93.3%,90.3%,92.6% and 83.7%,93.5%,85.9%. Conclusions: There was no significant difference between 99mTc-MIBI scintigraphy and molybdenum mammography,but combination application of the two methods can enhance the diagnostic accu-rate rate.