周新军

【摘要】 目的：探讨乳腺癌患者经乳腺X线钼钯点压放大摄影诊断的临床应用价值。方法：本次研究时间为2018年4月-2019年7月，研究对象为笔者所在医院接受乳腺手术治疗的女性乳腺癌患者40例，术前均接受常规X线钼钯摄影及X线钼钯点压放大摄影诊断，以术后病理结果作为金标准。比较两种检查方式诊断符合率及诊断乳腺癌典型病理特征情况。结果：常规X线钼钯摄影诊断符合率为47.50%，而X线钼钯点压放大摄影诊断符合率为97.50%，两种检查方式诊断符合率比较差异有统计学意义（P<0.05）。X线钼钯点压放大摄影肿块、钙化、血管异常、淋巴结肿大检出率均高于常规X线钼钯摄影，差異有统计学意义（P<0.05）。结论：通过X线钼钯点压放大摄影可以将常规检查期间难以看清的典型病理特征更清晰的显现出来，且诊断符合率更高，可用于早期乳腺癌的检查工作中，为临床提供数据支持。

【关键词】 X线钼钯点压放大摄影 女性 乳腺癌 诊断

doi：10.14033/j.cnki.cfmr.2020.18.031 文献标识码 B 文章编号 1674-6805（2020）18-00-03

The Value of X-ray Molybdenum-Palladium Point Pressure Magnification Photography in Diagnosis of Female Breast Cancer/ZHOU Xinjun. //Chinese and Foreign Medical Research， 2020， 18（18）： -74

[Abstract] Objective： To explore the clinical application value of X-ray molybdenum-palladium point pressure magnification photography in diagnosis of breast cancer. Method： This study was conducted from April 2018 to July 2019. The subjects were 40 female breast cancer patients who received breast surgery in the our hospital. All patients received conventional X-ray molybdenum-palladium photography and X-ray molybdenum-palladium point pressure magnification photography before surgery. Postoperative pathological results as the gold standard. The diagnostic coincidence rate and typical pathological features of breast cancer were compared between the two methods. Result： The diagnostic coincidence rate of conventional X-ray molybdenum-palladium photography was 47.50%， while the diagnostic coincidence rate of X-ray molybdenum-palladium point pressure magnification photography was 97.50%. There was a significant difference in the diagnostic coincidence rate between the two methods （P<0.05）. The detection rate of lumps， calcification， abnormal blood vessels and lymph node enlargement by X-ray molybdenum-palladium point pressure magnification photography was higher than those by conventional X-ray molybdenum-palladium photography， and the difference was statistically significant （P<0.05）. Conclusion： Through X-ray molybdenum-palladium point pressure magnification photography， the typical pathological features that are difficult to see during the routine examination can be more clearly displayed， and the diagnostic coincidence rate is higher， which can be used in the examination of early breast cancer， and provide data support for clinical practice.

[Key words] X-ray molybdenum-palladium point pressure magnification photography Female Breast cancer Diagnosis

First-authors address： The Second Peoples Hospital of Zhaoqing City， Zhaoqing 526060， China

乳腺癌属于临床女性十分常见的恶性肿瘤疾病，患病率仅次于子宫癌位列女性癌病的第二位，患者年龄多集中于40岁左右，但近几年呈年轻化方向发展。现今，乳腺癌的患病机理尚未彻底明确，普遍认为与遗传、生活习惯等相关[1]。一旦患病，早期患者症状表现以胸痛、乳房内触摸肿块、乳头溢液等为主，需及时予以诊断，便于尽快开展治疗。目前临床较为常用的诊断方法为超声技术、乳房X线钼钯摄影技术等，其中，乳房X线钼钯摄影技术凭借准确性高、操作便捷、对患者不造成伤害等备受认可[2]。本文针对笔者所在医院2018年4月-2019年7月收治的40例乳腺癌患者为例，探讨X线钼钯点压放大摄影的具体操作过程及诊断价值，现报道如下。

1 资料与方法

1.1 一般资料

本次研究时间为2018年4月-2019年7月，研究对象为笔者所在医院接受乳腺手术治疗的女性乳腺癌患者40例，纳入标准：（1）所有患者均确诊为乳腺癌，经病理检验确诊;（2）年龄29～65岁。……