热层析成像对乳腺疾病诊断价值的探讨

Clinical value of thermal tomography in diagnosis of breast diseases

目的:探讨热层析成像对乳腺疾病的诊断价值。方法:对222例患者分别行彩色多普勒超声和热层析检查,选取成像稳定的热层析检查热图,对照恶性肿瘤热层析曲线诊断标准,对病灶的热层析曲线进行分析,判别其良恶性;彩超检查记录病变位置、大小及性质。结果:病理确诊乳腺恶性肿瘤95例、良性病变127例;热层析检查与病理诊断相符合198例,不符合24例,其中假阳性诊断15例,假阴性诊断9例;与病理检查对比,热层析检查准确性为89.19%,敏感性为90.43%,特异性为88.28%。结论:热层析成像技术在乳腺疾病筛查与诊断中有无创,准确性、敏感性高的特点,有条件的医疗机构在工作中应使用热层析检查技术为患者服务。

Objective To explore the clinical value of thermal tomography（TT） in the diagnosis of breast diseases. Methods Totally 222 breast diseases patients underwent examinations by color Doppler ultrasound and TT. Some stable TT images were selected, and the TT curves of the lesions were analyzed according to the malignant tumor TT curve diagnosing standard, so that the benign and malignant tumors could be determined. Color Doppler ultrasound was used to describe the site, size and property of the lesion. Results Pathological examination found 95 cases of malignant tumors and 127 benign ones. TT had 198 results coincident with those by pathological examination while the remained 24 ones not, with 15 false positive results and 9 false negative ones. When compared with pathological examination, TT had the accuracy, sensitivity and specificity being 89.19%, 90.43% and 88.28% respectively. Conclusion TT is non-invasive, accurate and sensitive when used to screen and diagnose breast diseases, and should be applied if possible in medical facilities.