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论著:近红外线血氧检测技术对乳腺疾病的诊断价值
Diagnostic Value of Near Infrared Tomography in Patients with Suspected Breast Tumor
叶欣 张宏伟
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作者单位:复旦大学附属中山医院普外科
中文关键字:乳腺疾病;近红外线;血含量;氧含量;微血管密度
英文关键字:Breast diseases;Near infrared ray;Hemoglobin concentration; Blood oxygen saturation;Microvessel density
中文摘要:目的:探讨近红外线血氧检测技术对乳腺良恶性疾病的诊断价值。方法:用乳腺血氧检测仪对101例乳腺病变进行血氧检测,并对其进行病理检查及微血管密度(MVD)的测定。结果:乳腺良恶性病变组织的血含量值分别为0.0634±0.2290和 0.1464±0.2417,恶性病变组织的血含量明显高于良性病变(P<0.001);良、恶性病变组织的氧含量值分别为1.1888±0.3117和0.9969±0.4779,恶性病变组织的氧含量明显低于良性病变(P=0.019)。血氧含量值与MVD值之间无相关性。乳腺良性病变与浸润性导管癌的MVD值差异有统计学意义(P=0.037)。结论:乳腺癌组织具有“高血低氧”特征。用近红外线乳腺血氧检测技术判断乳腺病变的良恶性是可行的,该技术对乳腺癌有较高的诊断价值。
英文摘要:Objective:To evaluate the diagnostic value of near infrared detection technique in patients with benign or malignant breast diseases by detecting blood concentration and blood oxygen concentration. Methods: The hemoglobin concentration and blood oxygen saturation of 101 breast lesions were detected by the near infrared breast detecting instrument. The pathologic slides and the microvessel density (MVD) of those lesions were also observed. Results: The hemoglobin saturation of the breast benign and malignant lesions were 0.0634 ± 0.2290 and 0.1464 ± 0.2417, respectively, significantly higher in the malignant lesions than in the benign ones(P<0.001). The blood oxygen saturation of the breast benign and malignant lesions were 1.1888±0.3117 and 0.9969±0.4779, respectively, significantly lower in the malignant lesions than in the benign ones(P=0.019). There was no linear correlation between MVD and hemoglobin concentration or blood oxygen saturation. The MVD of invasive ductal carcinoma was significantly higher (P=0.037) than that of the benign breast lesions. Conclusions: Breast cancer is characterized by higher hemoglobin concentration and lower blood oxygen saturation. It is feasible to use near infrared breast detecting technique to discriminate breast malignant lesions from benign ones by detecting breast hemoglobin concentration and blood oxygen saturation.
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