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评价与分析乳腺疾病应用CT灌注与钼靶摄影诊断价值*

作者:曹 伊

所属单位:内蒙古乌海市人民医院放射科(内蒙古 乌海 016000)

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摘要

目的比较与分析CT灌注与钼靶 摄影用药乳腺疾病的诊断价值。方法 选 取本院2013年8月-2014年7月期间78例疑 似乳腺病变患者分别采用CT灌注检查和X 先摄影,同时与临床病理结果相比较。结 果 经研究发现,钼靶X线摄影诊断正确 者为61例,正确率为78.21%;CT灌注诊 断正确者为70例,正确率为89.74%;比 较两者诊断正确率(X2 =5.05,P<0.05)。 CT灌注诊断正确率为90.00%(18/20)与 钼靶X线25.00%(5/20)比较(X2 =18.64, P<0.05)。CT灌注诊断正确率为 81.82%(45/55)与钼靶X线20.00%(11/55) 比较(X2 =20.38,P<0.05)。CT灌注诊 断正确率为82.61%(19/23)与钼靶X线 73.91%(17/23)比较(X2 =4.54,P>0.05)。 CT灌注诊断正确率为27.91%(12/43)与 钼靶X线93.02%(40/43)比较(X2 =8.56, P<0.05)。结论 两者在诊断乳腺疾病时 均具有一定优势,因此,临床诊断乳腺 疾病患者时可根据实际情况选择或联合 使用,以提高临床诊断准确率,及早实 施治疗,提高患者生存质量。

Objective Comparison and analysis of CT perfusion and the diagnostic value of molybdenum target photography drug mammary gland disease. Methods Selection in our hospital during August 2013-July, 2014, 78 cases of patients with suspected breast lesions with CT perfusion examination and X-ray photography first, at the same time, compared with the results of clinical pathology. Results The study found that molybdenum target X-ray photography in the diagnosis of right for 61 cases, the accuracy is 78.21%; CT perfusion in the diagnosis of right for 70 cases, the accuracy is 89.74%; Compare the two diagnostic accuracy (X2 =5.05, P<0.05). Perfusion CT diagnostic accuracy was 90.00% (18/20) compared with line of molybdenum target X 25.00% (5/20) (X2 =18.64, P<0.05). Perfusion CT diagnostic accuracy was 81.82% (45/55) compared with line of molybdenum target X 20.00% (11/55) (X2 =20.38, P<0.05). Perfusion CT diagnostic accuracy was 82.61% (19/23) compared with line of molybdenum target X 73.91% (17/23) (X2 =4.54, P>4.54). Perfusion CT diagnostic accuracy was 27.91% (12/43) compared with line of molybdenum target X 93.02% (40/43) (X2 =8.56, P<0.05). Conclusion Both in the diagnosis of breast disease all have certain advantages, therefore, the clinical diagnosis of breast disease patients can choose according to actual situation or used in combination, to improve accuracy of clinical diagnosis, early treatment, improve the quality of survival.

【关键词】乳腺疾病;CT灌注;钼靶摄影

【中图分类号】R655.8;R445.3;R445.4

【文献标识码】A

【DOI】10.3969/j.issn.1672- 5131.2015.02.13

前言

临床上,乳腺疾病是女性人群中发病率较高的疾病之一,近年 来,随着人们生活饮食及结构发生变化,然乳腺癌患病率也在逐年上 升,严重威胁女性人群生命健康[1]。采用影像学检查可有效诊断乳腺 疾病,其中钼靶X线摄影检查可有效诊断乳腺恶性病变,同时具有微创 和快捷及准确等优点,并可描述肿瘤形态学[2]。然CT灌注成像可提供 患者组织血流动力学参数定量分析,并有效反应出患者生理功能变化 情况。本次研究中,为比较与分析CT灌注与钼靶X线诊断乳腺疾病的临 床价值,对本次所收治乳腺病变疾病患者分别采用CT灌注与钼靶X线诊 断,同时与临床病理诊断结果进行比较,如下报道。