張宏娟+周愛明+李秋蓉

[摘要] 目的 分析鉬靶X線技術(shù)診斷乳腺腫瘤的效果。方法 方便選擇該院自2012年1月—2017年5月收治的100例乳腺腫瘤患者，所有患者均已經(jīng)病理確診，分析其鉬靶X線確診現(xiàn)象。結(jié)果 有30例患者表現(xiàn)為乳腺癌，診斷符合率為100.00%；有65例患者診斷為良性腫瘤，診斷率符合率為92.86%；經(jīng)鉬靶X線技術(shù)檢查有95例患者與病理結(jié)果一致，符合率為95.00%。65例良性腫瘤中，28例患者為圓形，15例為橢圓形，22例為花瓣形。腫塊內(nèi)合并有粗顆粒融合性鈣化點者20例。30例惡性腫瘤中，11例（36.67%）為葉狀，13例（43.33%）為星狀，6例（20.00%）為觸須狀；其中13例（43.33%）含有鈣化點，4例（30.77%）為線狀，2例（15.38%）為細(xì)沙狀，1例（7.69%）為絲狀，3例（23.08%）為簇狀，3例（23.08%）為棍棒狀。結(jié)論 要明確的對乳腺腫瘤狀況進(jìn)行診斷，可優(yōu)先考慮鉬靶X線技術(shù)，因該技術(shù)可將腫瘤的直接、間接征象確切顯示，將良、惡性腫瘤在早期進(jìn)行鑒別。

[關(guān)鍵詞] 鉬靶X線技術(shù)；乳腺腫瘤；效果分析

[中圖分類號] R737 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2017）11（a）-0193-03

[Abstract] Objective To analyze the effect of molybdenum target x-ray technique in diagnosis of breast tumors. Methods 100 cases of breast tumor patients treated in our hospital from January 2012 to May 2017 were convenient selected and all patients were confirmed by pathology， and the confirmation phenomenon of molybdenum target x-ray was analyzed. Results 30 cases had breast cancer， and the diagnosis coincidence rate was 100.00%， and 65 cases（92.86%） were diagnosed with malignant tumors， and the molybdenum target x-ray technique examination results of 95 cases were consistent with the pathological results， and the coincidence rate was 95.00%， of 65 cases of benign tumors， 28 cases were in circular shape， 15 cases were in oval shape， and 22 cases were in petal shape， and 20 cases were complicated by carse fused calcification in tumor， of 30 cases of malignant tumors， 11 cases （36.67%）were in leaf shape， 13 cases were in star shape （43.33%）， 6 cases were in tentacle shape （20.00%）， and 13 cases contained calcification in the lungs（43.33%）， 4 cases were in liner shape （30.77%）， 2 cases were in silver sand shape（15.38%）， 1 case was in silk shape（7.69%）， 3 cases were in cluster shape （23.08%）and 3 cases were in club shape （23.08%）. Conclusion We should firstly consider the molybdenum target x-ray technique for definite diagnosis of breast tumors， because the technique can definitely show the direct and indirect signs of tumors and conduct the early differential diagnosis of benign and malignant tumors.

[Key words] Molybdenum target x-ray technique； Breast tumor； Analysis of effect

乳腺腫瘤有良性、惡性之分，不同性質(zhì)的腫瘤有著不同的治療方法。良性腫瘤多采用保守的治療方法，即使是手術(shù)治療，也可將乳房保留，不影響患者的形象，其生活質(zhì)量自然也不受影響[1]。對于確診為惡性腫瘤者，為將患者的生命進(jìn)行挽救多需將整個乳房切除。所有的治療方案源自于腫瘤類型，在臨床上要確診腫瘤類型可借助影像學(xué)檢查，鉬靶X線技術(shù)較為常見。該檢查方式可將良、惡性腫瘤在早期進(jìn)行鑒別，還可將腫瘤的直接、間接征象確切顯示，現(xiàn)方便選擇該院自2012年1月—2017年5月收治的100例患者作為研究對象，將具體診斷情況報道如下。

1 資料與方法

1.1 一般資料

方便選擇該院收治的100例乳腺腫瘤患者，年齡為25～62歲，平均年齡為（41.20±4.87）歲，病程為2 d～10年，平均為（4.82±3.72）年。乳房輕微疼痛者18例，無痛性乳房包塊66例，輕微乳頭溢液者11例，健康體檢發(fā)現(xiàn)異常者5例。其中30例為乳腺癌，70例為乳腺良性腫瘤。endprint