弹性超声联合X线钼靶检查早期乳腺癌的效果观察  

Effect of Elastography combined with Mammography in the Detection of Early Breast Cancer

作　　者：刘春华 LIU Chun-hua(Liangzhou Hospital of Wuwei,Wuwei,Gansu 733000)

机构地区：[1]甘肃省武威市凉州医院,甘肃武威733000

出　　处：《智慧健康》2021年第2期9-11,共3页Smart Healthcare

摘　　要：目的观察弹性超声联合X线钼靶检查早期乳腺癌的效果。方法选择2019年1月至2019年12月至我院进行治疗的疑似乳腺癌患者100例作为研究对象。所有患者均给予弹性超声成像、X线钼靶摄影检查。以病理诊断结果为最终结果,比较X线钼靶摄影、超声弹性成像单独检查以及二者联合应用诊断乳腺癌的诊断效能。以及联合检查方法对于不同大小的乳腺癌病灶的诊断效能。结果100例患者经病理学检查,最终诊断为乳腺癌患者67例,乳腺结节33例。对X线钼靶摄影、超声弹性成像以及联合诊断的诊断效能分析后发现,X线钼靶摄影、超声弹性成像的灵敏度、特异度、阳性预测值、阴性预测值无明显差异(P>0.05),而联合检测的各项诊断效能均高于X线钼靶摄影、超声弹性成像单项检测,且具有统计学差异(P<0.05)。67例乳腺癌患者中,病灶直径≤10mm共计27例,病灶直径>10mm共计40例。不同直径早期乳腺癌患者诊断效能比较,灵敏度、特异度、阳性预测值、阴性预测值均无明显差异(P>0.05)。结论弹性超声成像联合X线钼靶检查对于早期乳腺癌具有重要的临床意义,能够显著提高诊断效能,应于临床推广应用。Objective To observe the effect of elastography combined with mammography in the detection of early breast cancer.Methods 100 cases of suspected breast cancer patients treated in our hospital from January 2019 to December 2019 were selected as the research objects.All patients were examined by elastosonography and mammography.The diagnostic efficacy of mammography,ultrasonic elastography and the combination of them were compared.And the diagnostic efficiency of the combined method for different sizes of breast cancer lesions.Results After pathological examination,67 cases of breast cancer and 33 cases of breast nodules were finally diagnosed.After analyzing the diagnostic efficiency of X-ray mammography,ultrasonic elastography and combined diagnosis,it was found that the sensitivity,specificity,positive predictive value and negative predictive value of X-ray molybdenum target photography and ultrasonic elastography had no significant difference(P>0.05),but the diagnostic efficiency of combined detection was higher than that of single detection of X-ray molybdenum target photography and ultrasonic elastography,and the difference was statistically significant(P<0.05).In 67 cases of breast cancer,27 cases had lesion diameter≤10 mm,and 40 cases had lesion diameter>10 mm.There were no significant differences in sensitivity,specificity,positive predictive value and negative predictive value among patients with different diameters of early breast cancer(P>0.05).Conclusion Elastosonography combined with mammography has important clinical significance for early breast cancer,which can significantly improve the diagnostic efficiency,and should be widely applied in clinical practice.

关 键 词：弹性超声成像 X线钼靶摄影 乳腺癌 诊断效能 

分 类 号：R737.9[医药卫生—肿瘤]