评价与分析乳腺疾病应用CT灌注与钼靶摄影诊断价值

Evaluation and Analysis of Mammary Gland Disease Using CT Perfusion and Diagnostic Value of Molybdenum Target Photography

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<0.0 5)。C T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, P4.54）. 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.