彩色超声联合乳腺钼靶检查在早期乳腺癌筛查中的应用价值  

Application Value of Color Ultrasound Combined with Mammography in Early Breast Cancer Screening

作　　者：邱文风[1] 聂颖[1] 夏蓉晖 卢云涛[1] 秦冬颖[1] 李素英[1] 曹喜琴[2] QIU Wen-feng;NIE Ying;XIA Rong-hui;LU Yun-tao;QIN Dong-ying;LI Su-ying;CAO Xi-qin(Department of Ultrasound,Beijing Jiaotong University Hospital,Beijing 100044,China;Department of Ultrasound,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]北京交通大学医院超声科,北京100044 [2]首都医科大学附属北京友谊医院超声科,北京100050

出　　处：《医学信息》2022年第12期166-168,共3页Journal of Medical Information

摘　　要：目的 研究彩色超声检查联合乳腺钼靶在早期乳腺癌筛查中的价值。方法 选取2019年8月-2021年2月我院接诊的30例早期乳腺癌患者为研究对象,分别进行彩色超声检查、乳腺钼靶检查以及彩色超声联合乳腺钼靶检查,比较不同检查方法对不同体积、不同病理类型早期乳腺癌诊断准确率及其诊断效能。结果 肿瘤直径<0.1 cm、1.0~1.5 cm的早期乳腺癌联合检查诊断准确率均高于彩色超声及乳腺钼靶,差异有统计学意义(P<0.05);肿瘤直径1.6~2.5 cm早期乳腺癌联合诊断准确率与彩色超声、乳腺钼靶诊断准确率比较,差异无统计学意义(P>0.05);浸润型导管癌、单纯癌、黏液腺癌、原位癌联合检查诊断准确率高于彩色超声及乳腺钼靶诊断准确率,差异有统计学意义(P<0.05);联合检查灵敏度、特异度、阳性预测值、阴性预测值均高于彩色超声、乳腺钼靶诊断,差异有统计学意义(P<0.05)。结论 彩色超声联合乳腺钼靶检查诊断早期乳腺癌价值优于单一彩色超声检查及乳腺钼靶检查,诊断效能更理想。Objective To study the value of color ultrasonography combined with mammography in early breast cancer screening.Methods Thirty patients with early breast cancer admitted to our hospital from August 2019 to February 2021 were selected as the research subjects.Color ultrasound,mammography and color ultrasound combined with mammography were performed respectively.The diagnostic accuracy and diagnostic efficiency of different methods for early breast cancer with different volumes and pathological types were compared.Results The diagnostic accuracy of combined examination of early breast cancer with tumor diameter less than 0.1 cm and 1.0-1.5 cm was higher than that of color ultrasound and mammography,and the difference was statistically significant(P<0.05).There was no significant difference in the combined diagnostic accuracy of early breast cancer with tumor diameter of 1.6-2.5 cm between color ultrasound and mammography(P >0.05).The diagnostic accuracy of invasive ductal carcinoma,simple carcinoma,mucinous adenocarcinoma and in situ carcinoma was higher than that of color ultrasound and mammography,and the difference was statistically significant(P <0.05).The sensitivity,specificity,positive predictive value and negative predictive value of combined examination were higher than those of color ultrasound and mammography,and the difference was statistically significant( P <0.05).Conclusion The value of color ultrasound combined with mammography in the diagnosis of early breast cancer is better than that of single color ultrasound and mammography,and the diagnostic efficacy is more ideal.

关 键 词：彩色超声 乳腺钼靶 早期乳腺癌 诊断效能 

分 类 号：R445.1[医药卫生—影像医学与核医学]