彩色多普勒超声与钼靶X线摄影对乳腺良恶性肿块的诊断价值  

The diagnosis value of benign and malignant mammary masses by Color Doppler ultrasound and mammography

作　　者：吕斌[1] 王琼[1] 牟霜[1] 

机构地区：[1]重庆市中医院超声科,400021

出　　处：《重庆医学》2013年第12期1352-1354,共3页Chongqing medicine

摘　　要：目的探讨彩色多普勒超声与钼靶X线摄影对乳腺良恶性肿块的诊断价值。方法对130例乳腺肿块患者进行彩色多普勒超声与钼靶X线摄影单独和联合诊断,并与术后病理结果进行对照。结果该组恶性病变97例,良性病变33例。彩色多普勒超声检查的敏感性为72.16%,特异性为63.64%及准确性为70.00%,钼靶X线摄影检查的敏感性为80.41%,特异性为66.67%及准确性为76.92%,两者联合检查的敏感性为97.94%,特异性为87.88%及准确性为95.38%。结论两者联合应用可明显提高乳腺肿块的诊断符合率,为临床提供诊断依据。Objective To study the value of Color Doppler ultrasound and mammography in diagnosis of benign and malignant mammary masses. Methods A total of 130 patients with mammary masses were underwent Color Doppler ultrasound and mam-mography separately and combined diagnosed were included, and the result was compared with the postoperative pathological re-sult. Results The postoperative pathological result showed that there were 97 cases of malignant masses and 33 cases of benign masses in patients with mammary masses. The sensitivity, specificity and accuracy of diagnosis by only Color Doppler ultrasound were 72.16% ,63.64% and 70.00%. The sensitivity,specificity and accuracy of diagnosis by only mammography were 80.41%, 66.67% and 76.92%. While the sensitivity,specificity and accuracy of combined diagnosis by Color Doppler ultrasound and mam-mography together were 97.94% ,87.88% ,and 95.38%. Conclusion The combined detection of the two methods could improve the coincidence rate of diagnosis of mammary masses,and it also can provide a better diagnostic basis for clinical.

关 键 词：超声检查 多普勒 彩色 乳房X线摄影术 乳腺肿瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学]