全数字化乳腺钼靶X线摄影对小乳癌的诊断价值分析

Analyze the Diagnosis Value of the Fully Digital Mammography in the Mini-breast Cancer

目的:探讨小乳癌进行全数字化乳腺钼靶X线摄影检查的诊断价值分析。方法:临床选择2014年1月-2016年4月经手术病理证实的小乳癌病人60例,根据随机数字表法分为两组,分别进行超声检查及全数字化乳腺钼靶X射线检查,比较两组的临床检查阳性准确性;比较两组的血管影增多、增粗、局部结构紊乱、不规则致密影、结节影、微细钙化等阳性检出率。结果:全数字化乳腺钼靶X线摄影组的临床阳性检出率为93.3%(28例)、超声检查组的临床阳性检出率为70.0%(21例),两组比较差异有统计学意义(P<0.05);全数字化乳腺钼靶X线摄影组的血管影增多、增粗、局部结构紊乱、不规则致密影、结节影、微细钙化等阳性检出情况显著高于超声检查组,差异有统计学意义(P<0.05)。结论:小乳癌病人进行全数字化乳腺钼靶X线摄影的临床检查准确性较高,有助于观察小乳癌内部病灶组织变化情况,效果确切,值得临床推广。

Objective: To analyze the diagnosis value of the fully digital mammography in the mini-breast cancer. Method: Throughthe pathology examination, 60 patients of being confirmed with mini-breast cancer from January 2014 to 2016 April in our hospitalwere selected; the subjects were randomly divided into two groups. Two groups respectively adopted the coventional mammographyand fully digital mammography. The positive detection rate for two groups was compared; the positive detection rate of increasing andthickening vascular imaging, disordered local structure, irregular and compact imaging, nodule imaging and subtle calcification wascompared. Result: The positive detection rate of fully digital group (93.3%, 28 cases) was higher than that of conventional group (70.0%,21 cases) (P<0.05); the positive detection rate of increasing and thickening vascular imaging, disordered local structure, irregular andcompact imaging, nodule imaging and subtle calcification for fully digital group was significantly higher than that of conventionalgroup (P<0.05). Conclusion: The fully digital mammography has a higher detection accuracy in the mini-breast cancer, is good forthe clinical observation of internal lesion changes of mini-breast cancer. It is worthy of clinical promotion.