乳腺钙化灶150例外科诊治分析

Analysis of surgical diagnosis and treatment of 150 cases with mammographic calcifications

目的 总结经乳腺钼靶检查发现的乳腺钙化灶的诊治经验.方法 经乳腺钼靶检查发现的乳腺钙化灶并接受手术切除活检的女性患者150例,对其资料进行回顾性分析.结果 在150例乳腺钙化灶患者中,经病理检查,102例为良性病变,48例为恶性病变,良性与恶性患者乳腺钙化灶的大小（x2=5.55）、分布密度（x2=7.591）、分布状态（x2 =11.859）有相关性.结论 乳腺钙化灶对乳腺癌的诊治具有一定的临床价值,对于此类患者应进行钙化灶活检以确诊或排除乳腺癌.

Objective To investigate the diagnosis and treatment of mammographic calcifications found by mammary molybdenum target inspection.Methods 150 women who were found out with breast calcifications by mammary molybdenum target inspection and had been treated with surgical excision biopsy were selected.Their clinical data were retrospectively analyzed.Results In 150 cases of mammographic calcifications,102 cases were benign lesions by pathologic diagnosis,and 48 cases were malignant.Compared the morphological characteristics of the benign and malignant breast calcifications,the nature of the lesion was associated with lesion size （x2 =5.55）,the density of calcification （x2 =7.591） and the distribution of calcifications （x2 =11.859）.Conclusion Mammographic calcifications found by mammary molybdenum target inspection has a certain clinical value for diagnosis and treatment of breast cancer,so such patients should be encouraged to do biopsy to diagnose or exclude breast cancer.