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目的探讨乳腺肿瘤的钼靶X线特征及钼钯X线摄影技术要求。方法收集分析200例经手术、穿刺活检证实的乳腺肿瘤的钼靶X线摄影资料。结果乳腺良性肿瘤138例,X线征象多为圆形、椭圆形肿块,临床触诊质地较软。62例乳腺癌钼靶X线征象为不规则形肿块37例,占59.7%;类圆形25例,占40.3%。有微小钙化32例,占51.6%;局部浸润4例,占6.5%。触诊质地较硬,X线测量比值小于临床。结论X线钼靶摄影是乳腺肿瘤首选检查方法,显示乳腺癌的主要直接征象和间接征象,在乳腺癌的早期诊断及鉴别诊断中很有价值。
Objective To investigate the characteristics of molybdenum target X-ray and the requirements of molybdenum-palladium radiography in breast tumors. Methods The mammographic data of 200 cases of breast tumors confirmed by operation and biopsy were collected and analyzed. Results 138 cases of benign breast tumors, mostly X-ray signs of round, oval mass, clinical palpation soft texture. 62 cases of breast cancer molybdenum target X-ray signs of irregular mass in 37 cases, accounting for 59.7%; 25 cases of round, accounting for 40.3%. There are 32 cases of calcification, accounting for 51.6%; 4 cases of local infiltration, accounting for 6.5%. Palpation texture is hard, X-ray measurement is less than the clinical rate. Conclusion X-ray mammography is the preferred method for detecting breast cancer. It shows that the direct and indirect signs of breast cancer are of great value in the early diagnosis and differential diagnosis of breast cancer.