摘要
目的研讨数字乳腺断层融合成像技术(DBT)对筛查诊断乳腺癌的准确性及临床价值。方法回顾性选取2019年12月-2020年12月本院收治的乳腺肿块患者200例。所有患者均行双侧乳腺数字化摄影(FFDM)及患侧乳腺DBT检查。其中50例随访或手术病理证实。结果50例随访患者中,手术病理证实共计66处病变。具体如下:非致密型腺体10处(15.15%),即良、恶性依次对应为4处、6处;致密型腺体56处(84.85%),即良、恶性病变依次对应为39处、17处。DBT、FFDM就两种检查方式在非致密型腺体的检查准确性、敏感性、特异性方面进行对比分析,无显著性差异(χ^(2)=1.250,0.533,1.091;P>0.05);在致密型腺体良恶性临床诊断鉴别中,DBT敏感性明显高于FFDM,统计学意义成立(χ^(2)=4.622,P<0.05)。但二者特异性无较大差异(χ^(2)=1.133,P>0.05)。结论DBT技术具有操作便捷、安全无创,且该影像技术较之FFDM用于筛查诊断致密型乳腺腺体具有较高的准确性、特异性,对乳腺癌诊断效能的提升具积极作用,值得临床借鉴并大力推广。
Objective To discussaboutthe accuracy and clinical value of digital breast Tomosynthesis(DBT)fusion imaging in screening and diagnosing ofbreast cancer.Methods 200 patients with breast masses admitted to our hospital from December 2019 to December 2020 were selected retrospectively.All patients underwent bilateral digital mammography(FFDM)and DBT examination of the affected breast.Among them,50 cases were followed up or confirmed by surgical pathology.Results Among the 50 follow-up patients,a total of 66 lesions were confirmed by surgery pathology.The details were as follows:10 non-dense glands(15.15%),that is,4 benign and 6 malignant glands in turn;56 dense glands(84.85%),i.e.39 and 17 benign and malignant lesions,respectively.There was no significant difference between DBT and FFDM in the accuracy,sensitivity and specificity of thenon-dense glands(χ^(2)=1.250,0.533,1.091;P>0.05).In the clinical diagnosis and differentiation of benign and malignant indense glands,the sensitivity of DBT was significantly higher than that of FFDM,with statistically significance(χ^(2)=4.622,P<0.05).However,there was no significant difference in the specificity of the two(χ^(2)=1.133,P>0.05).Conclusion DBT technology is convenient,safe and non-invasive,and the imaging technology has higher accuracy and specificity than FFDM for screening and diagnosis of compact breast glands.It has a positive effect on improving the diagnostic efficiency of breast cancer,and it is worthy of clinical reference and promotion.
作者
谢宏
陈新建
齐玲俊
XIE Hong;CHEN Xinjian;QI Lingjun(Urumqi Friendship Hospital,Urumqi,830046,China)
出处
《新疆医学》
2023年第7期822-824,共3页
Xinjiang Medical Journal
作者简介
谢宏,女,副主任医师,研究方向:心胸及乳腺疾病诊治。
