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目的探讨全数字化乳腺摄影(FFDM)在乳腺病变中的临床应用价值。资料与方法搜集经手术病理证实有完整临床资料的乳腺病变共102例,所有患者均行FFDM,结合病理进行影像学分析。结果 102例乳腺病变中乳腺癌31例,乳腺良性病变71例。临床触及肿块者63例,未触及肿块者39例。影像表现为肿块80例,单纯成簇微小钙化4例,结构紊乱并粗长毛刺2例,结构紊乱并微小钙化1例,局部片状致密影14例,无明显影像表现1例。FFDM对乳腺癌诊断敏感性为90.3%,特异性为94.4%,准确性为93.1%。结论 FFDM能清晰显示乳腺病变的X线征象,尤其能够显示乳腺癌的主要X线征象,为临床早期诊断乳腺病变创造了条件,尤其对临床未触及肿块的早期乳腺癌具有重要的临床价值。
Objective To investigate the clinical value of full digital mammography (FFDM) in breast lesions. Materials and Methods To collect 102 cases of breast lesions with complete clinical data confirmed by surgery and pathology. All patients underwent FFDM combined with pathological imaging analysis. Results Breast lesions in 102 cases of breast cancer in 31 cases, benign breast lesions in 71 cases. 63 cases of clinically involving lumps, 39 cases of untreated lumps. The images showed masses of 80 cases, simple clustered microcalcifications in 4 cases, structural disorder and coarse burr in 2 cases, structural disorder and microcalcification in 1 case, local flaky compact shadow in 14 cases, no obvious imaging findings in 1 case. FFDM diagnosis of breast cancer sensitivity was 90.3%, specificity was 94.4%, accuracy was 93.1%. Conclusion FFDM can clearly show the X-ray signs of breast lesions. In particular, it can show the main X-ray signs of breast cancer and create conditions for the early diagnosis of breast lesions, especially for early breast cancer with no palpable tumor.