数字乳腺断层摄影技术用于乳癌筛查的价值分析及对根治术后隆乳术的指导

The value analysis and guidance of digital breast tomosynthesis for breast cancer scr eening and radical surgery breast augmentation surgery

目的：探讨数字乳腺断层摄影技术（digital breast tomosynthesis,DBT）在乳癌筛查及其根治术后隆乳术中的临床诊断价值。方法：对在我院进行检查的1837例女性资料进行分析,入院后采用数字乳腺断层摄影技术对其检测,分析数字乳腺断层摄影技术在乳腺癌中的检出率及其根治手术隆乳的指导,评价其对乳腺癌检出率的敏感度。结果：455例少量腺体型,BI-ARDS分类中117例1级,192例3级,76例2级;1051例多量腺体型,BI-ARDS分类中452例1级,319例3级,99例2级;194例致密性,BI-ARDS分类中71例3级,55例1级,44例2级;194例脂肪型,BI-ARDS分类中52例5级,36例3级;数字乳腺断层摄影技术中检出55例乳腺癌,患者年龄为（29-72）岁,检出率为2.99%（55/1837）,其中4例间歇期癌。55例乳腺癌患者均手术治疗。数字乳腺断层摄影技术敏感度为93.22%（55/59）。对于确诊的55例患者均采用根治手术治疗,患者中53例治疗效果理想,治愈率为96.4%。结论：数字乳腺断层摄影技术在女性乳腺癌筛查中效果理想,检出率高,对于多量腺体型以及致密型乳腺可以联合其他方法进行筛查,并且这种方法对根治术后隆乳手术的指导有一定意义,值得推广使用。

Objective To explore the digital breast tomosynthesis（digital breast tomosynthesis,DBT）screening and diagnosis of breast augmentation surgery clinical value in its cure. Methods In our hospital examination were analyzed 1837 cases of women after admission digital breast tomosynthesis its detection, analysis,digital breast tomosynthesis in breast cancer detection rate of breast augmentation surgery and radical guide to evaluate the sensitivity of the detection rate of breast cancer. Results 455 cases a small amount of glandular type,BI-ARDS classification of 117 cases of grade 1 and grade 3 192 cases,76 cases of 2;1 051 cases of large amounts of glandular type,BI- ARDS classification in grade 1,452 cases,319 cases of three,99 cases of 2;194 cases of dense,BI-ARDS classification in grade 3,71 cases,55 cases 1,44 cases of 2;194 cases of fat type,BIARDS classification in 52 cases of 5,36 cases of 3;digital breast tomosynthesis detected in 55 cases of breast cancer patients aged（29- 72 years）,the detection rate was 2.99%（55/1837）,including four cases of intermittent cancer.55 cases of breast cancer were treated surgically.Digital breast tomosynthesis sensitivity of 93.22%（55/59）,for the diagnosis of 55 cases of patients were treated with radical surgery,the ideal treatment effect in patients with 53 cases,the cure rate was 96.4.Conclusion Digital breast tomosynthesis desired effect in women with breast cancer screening,detection rate,for large amounts of dense breast glands type and in combination with other methods can be screened,and this method is radical surgery breast augmentation surgery guiding the results are satisfactory and should be introduced.