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目的:探讨对早期乳腺癌患者采用数字化乳腺钼靶X线摄影检查的临床诊断价值。方法:对2009年3月至2016年6月广东省怀集县人民医院收治的63例早期乳腺癌患者进行观察,所有患者经病理学证实明确诊断。对所有患者先后进行彩色多普勒超声、数字化乳腺钼靶X线摄影检查,观察两种检查方法的诊断价值。结果:数字化乳腺钼靶X线摄影检出57例,检出率为90.48%;其中左侧34例,右侧23例。病灶部位:中央区4例,内上象限20例,内下象限4例,外上象限25例,外下象限4例。彩色多普勒超声检出42例,检出率为66.67%。其中左侧25例,右侧17例。病灶部位:中央区3例,内上象限15例,内下象限3例,外上象限18例,外下象限3例。彩色多普勒超声对浸润性导管癌、小叶癌、导管原位癌检出率明显低于数字化乳腺钼靶X线摄影,差异有统计学意义(P<0.05)。结论:早期乳腺癌患者在数字化乳腺钼靶X线摄影检查时有微小肿块或钙化病灶、乳腺组织结构紊乱、血管影增多等征象,对早期乳腺癌的诊断敏感性强,为下一步治疗方案的选择提供诊断依据。
Objective: To investigate the value of digital mammography in the diagnosis of early breast cancer. Methods: From March 2009 to June 2016, 63 cases of early breast cancer were treated in Huaiji County People’s Hospital of Guangdong Province. All patients were confirmed by pathology. Color Doppler sonography and digital mammography were performed on all patients, and the diagnostic value of the two methods was observed. Results: 57 cases were detected by mammogram digital mammography, the detection rate was 90.48%. There were 34 cases on the left side and 23 cases on the right side. Lesions: central area in 4 cases, 20 cases of upper quadrant, 4 cases of inferior quadrant, 25 cases of upper quadrant, 4 cases of outer quadrant. 42 cases were detected by color Doppler ultrasound, the detection rate was 66.67%. Of which 25 cases on the left and 17 cases on the right. Lesions: Central District in 3 cases, the upper quadrant in 15 cases, the lower quadrant in 3 cases, the upper quadrant in 18 cases, the outer quadrant in 3 cases. Color Doppler ultrasound of invasive ductal carcinoma, lobular carcinoma, ductal carcinoma in situ was significantly lower than the number of mammography digital mammography, the difference was statistically significant (P <0.05). Conclusion: Early breast cancer patients with small lumps or calcified lesions in the digital mammography, breast tissue disorders, increased blood vessels shadow and other signs of early breast cancer diagnosis is highly sensitive for the next treatment options Choose to provide a diagnostic basis.