经改进后乳腺导管造影术对导管内乳头状瘤的诊断价值
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摘要
目的探讨乳腺导管造影术经改进后在导管内乳头状瘤中的临床应用价值。方法回顾性分析42例经病理证实非哺乳期乳头溢液患者的乳腺导管造影资料。结果改进导管造影诊断与病理诊断符合率为90. 5%(38/42),均高于超声检查(64. 3%),MRI检查(68. 75%)和乳管溢液涂片检查(62. 07%),差异均有统计学意义(P <0. 05)。结论改进优化后的乳腺导管造影,可以提高导管造影的成功率,有助于导管内乳头状瘤的正确诊断,具有较好的临床应用价值。
Objective To explore the value of modified galactography in diagnosis of breast intraductal papilloma. Methods Galaetographies in 42 eases with breast intraductal papilloma confirmed by operation and pathology were analyzed retrospectively. Results The coincidence rate of improved diagnostic and pathological diagnosis was 90. 5%( 38/42),which was higher than that of ultrasonography( 64. 3%),MRI examination( 68. 75%) and breast tube overflow smear examination( 62. 07%).The difference was statistically significant( P < 0. 05). Conclusion The modified galactography is useful for the diagnosis of the breast intraductal papilloma.
Objective To explore the value of modified galactography in diagnosis of breast intraductal papilloma. Methods Galaetographies in 42 eases with breast intraductal papilloma confirmed by operation and pathology were analyzed retrospectively. Results The coincidence rate of improved diagnostic and pathological diagnosis was 90. 5%( 38/42),which was higher than that of ultrasonography( 64. 3%),MRI examination( 68. 75%) and breast tube overflow smear examination( 62. 07%).The difference was statistically significant( P < 0. 05). Conclusion The modified galactography is useful for the diagnosis of the breast intraductal papilloma.
引文
[1]江珍敏,罗梦婷,李跃华.病理性乳头溢液的影像诊断〔J〕.医学综述,2016,22(23):4683-4686.
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[3] Raper DM,Besser M. Clinical features,management and recurrence of symptomatic Rathke clsft cyst〔J〕. J Clin Neurosci,2009,16(3):385-389.
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[5]陈少华,方景华,冯锦霞,等.选择性乳腺导管造影技术的质量控制〔J〕.实用放射学杂志,2006,22(12):1398-1399.
[6]吴晓颖,周学军. 50例乳腺导管造影影像质量分析〔J〕.医学影像学杂志,2014,24(2)318-320.
[7] Lakhani SR,Ellis IO,Schnitt SJ,et al. WHO classification of tumours of the breast. Word Health Organization Classification of Tumours〔M〕. 4th ed. Lyon:IARC Pres,2012:104-108.
[8]刘荣.乳腺导管内乳头状瘤32例X线分析〔J〕.新疆医学,2009,37:38-40.
[9]王泽坤,罗娅红.降低乳腺乳头状病变术前诊断低估率的影像学研究进展〔J〕.肿瘤影像学,2017,26(1):75-80.
[10]胡滨,白晓珺,应学翔,等.超声和MRI对病理性乳头溢液诊断的临床研究〔J〕.同济大学学报(医学版),2011,33(3):94-99.
[11] SARICA O,ULUC F,TASMAIL D,et al. Magnetic resonance imaging features of papillary breast lesions〔J〕. Eur J Radiol,2014,83(3):524-530.
[12]王玉霞.乳腺导管造影联合导管内窥镜对溢液性乳腺疾病的诊断价值〔J〕.中国中西医结合影像学杂志,2015,13(2):165-168.
[13]李征毅,石瑾.乳腺导管的影像解剖与临床意义〔J〕.中国现代医学杂志,2010,20(7):1055-1062.
[14]马榕,吴土金.乳头溢液的诊断及对策〔J〕.中国实用外科杂志,2016,36(7):738-741.
[15]谷方,赵堔,龚少兰.成年女性乳头和乳晕神经分布的应用解剖〔J〕.青岛大学医学院学报,2001,37(4):321-322.
[16]张丽宏.乳腺导管造影的临床应用价值〔J〕.医学影像学杂志,2016,26(1):142-143.
[2]曾莉,努尔别克,李先军,等.乳腺导管造影技术在乳头溢液性疾病检查中的质量控制〔J〕.中华放射学杂志,2009,43(11):1219-1221.
[3] Raper DM,Besser M. Clinical features,management and recurrence of symptomatic Rathke clsft cyst〔J〕. J Clin Neurosci,2009,16(3):385-389.
[4]周纯武,张仁知.乳腺影像学的现状与使命〔J〕.磁共振成像,2014. 21(5):74-80.
[5]陈少华,方景华,冯锦霞,等.选择性乳腺导管造影技术的质量控制〔J〕.实用放射学杂志,2006,22(12):1398-1399.
[6]吴晓颖,周学军. 50例乳腺导管造影影像质量分析〔J〕.医学影像学杂志,2014,24(2)318-320.
[7] Lakhani SR,Ellis IO,Schnitt SJ,et al. WHO classification of tumours of the breast. Word Health Organization Classification of Tumours〔M〕. 4th ed. Lyon:IARC Pres,2012:104-108.
[8]刘荣.乳腺导管内乳头状瘤32例X线分析〔J〕.新疆医学,2009,37:38-40.
[9]王泽坤,罗娅红.降低乳腺乳头状病变术前诊断低估率的影像学研究进展〔J〕.肿瘤影像学,2017,26(1):75-80.
[10]胡滨,白晓珺,应学翔,等.超声和MRI对病理性乳头溢液诊断的临床研究〔J〕.同济大学学报(医学版),2011,33(3):94-99.
[11] SARICA O,ULUC F,TASMAIL D,et al. Magnetic resonance imaging features of papillary breast lesions〔J〕. Eur J Radiol,2014,83(3):524-530.
[12]王玉霞.乳腺导管造影联合导管内窥镜对溢液性乳腺疾病的诊断价值〔J〕.中国中西医结合影像学杂志,2015,13(2):165-168.
[13]李征毅,石瑾.乳腺导管的影像解剖与临床意义〔J〕.中国现代医学杂志,2010,20(7):1055-1062.
[14]马榕,吴土金.乳头溢液的诊断及对策〔J〕.中国实用外科杂志,2016,36(7):738-741.
[15]谷方,赵堔,龚少兰.成年女性乳头和乳晕神经分布的应用解剖〔J〕.青岛大学医学院学报,2001,37(4):321-322.
[16]张丽宏.乳腺导管造影的临床应用价值〔J〕.医学影像学杂志,2016,26(1):142-143.