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ID:33158190
大小:28.73 MB
页数:39页
时间:2019-02-21
《钼靶x线、彩色多普勒超声和磁共振检查在乳腺癌保乳手术上的应用-研究》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、StudyoftheApplicationofMammography,ColorDopplerUItrasonographyandMagneticResonanceImaginginBreast·-conservingSurgeryMasterdegreecandidate:DanZhaoSupervisor:ProfessorYahongLuoMajor:ImagingMedicineandNuclearMedicineAbstractObjective:Toappreciatethediagnosticvaluesofmammography,colorDoppl
2、erultrasonographyandMRIforbreast-conservingsurgeryofbreast0aIIGCI.Methods:54femalepatientswithbreastcancer,receivedbreast·conservingsurgery,werestudied.Themedianagewas48years(range32.56vears).Allthecaseswereexaminedbymammography,colorDopplerultrasonographyandMRIbeforeoperation.Mammogra
3、phyexaminationwasperformedbyGESenographe2000DFullFieldDigitalmammographyunitwithMo.Rhtwo.sidedtarget.ColorDopplerultrasonographyexaminationwasperformedbyGELogiq9colorDopplerultrasonographyunit.MRIexaminationwasperformedbyGE1.5THDMRIsystemwithaisle8ofVibrantdedicatedbreastreceivercoil.A
4、fterconventionalexamination,dynamicenhancementwasconductedusingGEVibrant"techniquefor’allpatients.ApplyingGEADW4.3workstation,weprocessedtheimage·Aftereachinspection,thereweretwodoctorsobservingthenumberoflesions,size,location,shape,edge,therelationshipbetweenlesionsandsurroundingtissu
5、es,theaxillarylymphnodes,andSOon.Thesameworkwasdoneinpathologicalspecimen.Weobservedflaepathologicalgradedifferentiatedofbreastlesionsanddiagnosedthemetastasisofaxillarylymphnodesundermicroscope.Moreover,wemustobservetheexpresslonofC-erbB.2,ERandPRwithimmunohistoehemiealstainingmethod.
6、DatawasprocessedbySPSS10.0statisticalsoftware,thestatisticalmethodusedX2test.Results:Afteroperation,54breastlesionswerediscovered.Thenumberofbreastlesionsdetectedbymammography,colorDopplerultrasonographyandMRlwas45,50and54.Thedetectionratewas83.33%,92.59%,100%respectively.Theaveragedia
7、meteroflesionsmeasuredwas16.46±6.76bypathology,19.42±9.26bymammography,14.63±5.82bycolorDopplerultrasonographyand17.69±6.75byMRI.ThecorrelationwasbestbetweenMRIandpathology(P
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