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目的探讨钼靶X线对乳腺疾病的诊断价值,分析误诊原因。方法回顾性分析210例行外科手术治疗的患者的钼靶X线诊断及病理诊断结果,根据BI-RADS进行评估。结果 210例术后病理诊断,恶性病变135例,乳腺叶状肿瘤2例,良性病变73例。而钼靶X线诊断恶性肿瘤141例,良性病变69例。误诊18例,误诊率8.6%。病理诊断135例恶性病变者及两例交界性肿瘤中,伴同侧腋下淋巴结肿大者59例,其中C-erbB-2阳性44例,C-erbB-2阴性15例。C-erbB-2阳性与淋巴结肿大(转移)有一定的相关性(P<0.001)。良性病变73例中,腋下淋巴结肿大者仅6例。结论结合病理诊断,仔细分析乳腺肿块的伴随征象,可提高钼靶X线检查的诊断正确率。
Objective To investigate the diagnostic value of mammography X-ray for breast disease and analyze the causes of misdiagnosis. Methods A retrospective analysis of 210 cases of patients undergoing surgical treatment of molybdenum target X-ray diagnosis and pathological diagnosis, according to BI-RADS were evaluated. Results 210 cases of postoperative pathological diagnosis, 135 cases of malignant lesions, breast tumor in 2 cases, 73 cases of benign lesions. The molybdenum target X-ray diagnosis of malignant tumors in 141 cases, 69 cases of benign lesions. Misdiagnosis in 18 cases, misdiagnosis rate of 8.6%. Pathological diagnosis of 135 cases of malignant lesions and two cases of borderline tumors, with ipsilateral axillary lymph nodes in 59 cases, of which 44 cases of C-erbB-2 positive, C-erbB-2 negative in 15 cases. The positive correlation between C-erbB-2 and lymph node enlargement (metastasis) (P <0.001). 73 cases of benign lesions, axillary lymph nodes in only 6 cases. Conclusions Combined with pathological diagnosis, careful analysis of the accompanying signs of breast lumps can improve the diagnostic accuracy of mammography X-ray examination.