乳腺X线摄影与超声在早期老年乳腺癌诊断中的对比研究  

Comparison of Molybdenum Target and Ultrasound Examination in Diagnosis of Elderly patients with Early Stage of Breast Cancer

作　　者：孟庆杰[1] 巫姜[1] 韩永峰 叶骉飞 崔风强[1] 李南林[1] 凌瑞[1] 

机构地区：[1]第四军医大学西京医院甲乳血管外科,陕西西安710032 [2]西京医院超声科,陕西西安710032 [3]唐都医院肿瘤科,陕西西安710032

出　　处：《现代生物医学进展》2017年第28期5457-5461,5523,共6页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81472598);陕西省社会发展科技公关项目(2016SF-298)

摘　　要：目的:比较乳腺X线摄影与超声在早期老年乳腺癌诊断中区别与应用价值。方法:选择2014年8月至2016年6月在我院就诊的老年早期乳腺癌患者为研究对象,回顾性分析比较乳腺X线摄影检查结果与乳腺超声在乳腺癌及腋窝淋巴结的辅助诊断中的诊断确诊率,分析其区别与价值。结果:(1)乳腺X线摄影比超声对钙化更敏感,而超声比乳腺X线摄影对肿物检出率更高。(2)对于直径在0.5-2.0 cm之间的小肿瘤,超声检出率比乳腺X线摄影高;而对于肉眼及查体可扪及的乳腺大肿物(直径>2.0 cm),二者的检出率无明显差异。(3)乳腺X线摄影与超声对乳腺癌诊断率无明显差异,乳腺X线摄影+超声对乳腺癌的准确率高于乳腺X线摄影。结论:两种方法在老年早期乳腺癌的辅助检查中各有优缺点,二者联合应用可达到增加诊断准确率之目的。Objective： To compare the difference and value of mammography and ultrasound examination in the diagnosis of early stage breast cancer in elderly. Methods： Elderly patients with early breast cancer in our hospital from August 2014 to June 2016 were selected. Retrospectively analysed the diagnosis of difference and value of breast cancer by breast X-ray （mammography） results and breast ultrasound examination in the breast cancer. Results： （~）The molybdenum target is more sensitive to calcification than the ultrasound, and the detection rate of the ultrasound is higher than that of the molybdenum target. ~）For small tumors （diameter were between 0.5-2.0 era）, the ultrasound detection rate was higher than that of molybdenum target. And for the naked eye visibility and the can be palpable breast mass （diameter 〉2.0 cm）, the detection rate of the two methods had no significant difference. （~）There was no significant difference in the diagnostic rate of breast cancer between the molybdenum target and ultrasound. But the accuracy rate of the molybdenum target combined ultrasound in the breast cancer was higher than that of the molybdenum target. Conclusions： The two methods have their advantages and disadvantages in the assistant examination of early breast cancer in elderly. The combined application of the two methods can achieve the goal of increasing the accuracy of diagnosis.

关 键 词：老年乳腺癌 乳腺X线摄影 乳腺超声 诊断 

分 类 号：R737.9[医药卫生—肿瘤]