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目的比较Eklund摄影方法与传统X线摄影方法对假体隆胸术后病人的影像评估的价值。方法对16例假体隆胸术后的女性病人(38~55岁,中位年龄44岁)行乳腺X线摄影,采用常规摄影方法及Eklund摄影方法,获得常规摄影方法头尾位、内外斜位、Eklund摄影方法头尾位、内外斜位各32幅影像,并获得相应的压迫力度(da N)及压迫后乳腺厚度(mm)。通过Advantage Windows 4.4工作站测量乳头到假体的最短距离(mm)。由2名放射科医生采用盲法读片对乳腺显示的解剖结构和细节进行评分。采用Graphpad prism 5.01统计分析软件对传统摄影方法、Eklund摄影方法的压迫力度、压迫后乳腺厚度、乳头到假体距离进行t检验,对传统摄影方法、Eklund摄影方法的解剖结构和细节进行Wilcoxon检验。结果常规摄影方法头尾位压迫力度、压迫后乳腺厚度、乳头到假体的最短距离分别为(6.813±1.857)da N、(52.188±14.104)mm、(30.115±16.814)mm,解剖结构和细节评分3分病人约占总数25.00%;常规摄影方法内外斜位为(6.969±2.132)da N、(58.031±10.237)mm、(23.342±10.190)mm,解剖结构和细节评分3分病人约占总数90.63%;Eklund摄影方法头尾位为(6.688±1.891)da N、(24.094±9.484)mm、(38.189±11.925)mm,解剖结构和细节评分3分病人约占总数6.25%;Eklund摄影方法内外斜位为(7.094±2.205)da N、(24.906±11.223)mm、(39.686±11.664)mm,解剖结构和细节评分3分病人约占总数87.50%。两组之间除了压迫力度其余参数差异均有统计学意义。结论 Eklund摄影方法对于假体隆胸术后病人的影像评估具有重要价值。
Objective To compare the diagnostic value of Eklund photography and traditional radiography in the evaluation of patients undergoing breast augmentation surgery. Methods Sixteen female patients (38-55 years old, 44 years old) undergoing breast augmentation surgery underwent mammography. Conventional radiography and Eklund radiography were used to obtain the images of head and tail, internal and external oblique position, Eklund photography method of head and tail position, inside and outside the oblique position of the 32 images, and get the corresponding pressure (da N) and the thickness of the breast after compression (mm). The shortest nipple-to-prosthesis distance (mm) is measured by the Advantage Windows 4.4 workstation. Two radiologists used blinded readings to assess the anatomy and detail of the breast. Graphpad prism 5.01 statistical analysis software was used to perform t-test on the traditional photography method, Eklund photography method, the thickness of the breast after compression, and the distance from the nipple to the prosthesis. Wilcoxon test was conducted on the anatomy and details of the traditional photography method and Eklund photography method. Results The head and tail compression, the thickness of the breast after compression and the shortest distances from the nipple to the prosthesis were (6.813 ± 1.857) da N, (52.188 ± 14.104) mm and (30.115 ± 16.814) mm, respectively. The anatomy and details The score of 3 points was about 25.00% of the total number of patients; the internal and external oblique position of conventional photography was (6.969 ± 2.132) da N, (58.031 ± 10.237) mm, (23.342 ± 10.190) mm, (6.68 ± 1.891) da N (24.094 ± 9.484) mm, (38.189 ± 11.925) mm, respectively. The total score of the patients with EKUHND imaging was 3% (6.25%). Eklund photography method both inside and outside The skewed position was (7.094 ± 2.205) da N, (24.906 ± 11.223) mm and (39.686 ± 11.664) mm, respectively. The anatomical structure and detail score of 3 patients accounted for 87.50% of the total. Between the two groups in addition to the pressure of the remaining parameters were statistically significant differences. Conclusion The Eklund method is of great value in the imaging evaluation of patients after prosthesis augmentation.