3.0T MRI联合钼靶X线对三阴性乳腺癌的诊断价值

Diagnostic value of 3.0T MRI combined with mammography X-ray for triple-negative breast cancer

目的观察评价分析3.0 TMRI联合钼靶X线对三阴性乳腺癌(Triple negative breast cancer,TNBC)的临床诊断价值。方法选择2018年2月至2019年2月期间本院收治的三阴性乳腺癌(TNBC)患者57例,均采用3.0 TMRI及钼靶X线检查,与病理结果进行对比,观察3.0 TMRI及钼靶X线检查的准确性。结果3.0 TMRI诊断符合率为92.98%,显著地高于钼靶X线的诊断符合率59.65%(χ^2=17.5198,P<0.05),3.0 TMRI诊断符合率为92.98%,略低于3.0 TMRI联合钼靶X线的诊断符合率98.25%(χ^2=1.8826,P>0.05),钼靶X线诊断符合率为59.65%,显著地低于3.0 TMRI联合钼靶X线的诊断符合率98.25%(χ^2=25.5444,P<0.05)。结论对三阴性乳腺癌(TNBC)患者采用3.0TMRI联合钼靶X线进行诊断具有较高的临床价值,能够显著地提高TNBC诊断准确率,为临床治疗提供科学合理有效的准确数据,值得临床大力推广应用。

Objective To observe and evaluate the clinical value of 3.0T MRI combined with mammography X-ray in the diagnosis of triple negative breast cancer (TNBC). Methods A total of 57 patients with triple-negative breast cancer (TNBC) admitted to our hospital from February 2018 to February 2019 were treated with 3.0T MRI and mammography. The results were compared with pathological findings. The accuracy of 3.0T MRI and mammography X-ray inspection were observed. Results The coincidence rate of 3.0T MRI was 92.98%, which was significantly higher than that of mammography (59.65%)(χ^2=17.519 8, P<0.05). The coincidence rate of 3.0T MRI was 92.98%, which was slightly lower than that of 3.0T MRI combined with mammography (98.25%)(χ^2=1.882 6, P>0.05);the coincidence rate of mammography X-ray was 59.65%, which was significantly lower than that of 3.0T MRI combined with mammography (98.25%)(χ^2=25.544 4, P<0.05). Conclusion The use of 3.0T MRI combined with mammography X-ray has high clinical value in the diagnosis of patients with triple-negative breast cancer (TNBC), which can significantly improve the diagnostic accuracy of TNBC, and provide scientific reasonable accurate data for clinical treatment. It is worthy of clinical promotion and application.