彩色多普勒超声和钼靶X线诊断女性乳腺癌的应用效果及准确性研究  

Study on the application effect and accuracy of color Doppler ultrasound and mammography in the diagnosis of female breast cancer

作　　者：刘兴霞 LIU Xingxia(People's Hospital of Xinyu City,Xinyu,Jiangxi,338000,China)

机构地区：[1]新余市人民医院,江西新余338000

出　　处：《当代医学》2022年第23期142-144,共3页Contemporary Medicine

摘　　要：目的探究彩色多普勒超声和钼靶X线诊断女性乳腺癌的应用效果及准确性。方法选取2017年1月至2020年1月于本院治疗的80例疑似乳腺癌患者作为研究对象,所有患者均进行彩色多普勒超声、钼靶X线检查,以病理检查结果为金标准,判断两种检测方法检出率(边界模糊率、形状不规则率、砂砾样钙化率、后方回声不均匀率),并比较两种方法在女性乳腺癌疾病中的诊断效能及乳腺癌患者与良性病变患者的血流信号等级。结果病理检查结果显示,80例患者中,乳腺癌62例,乳腺良性病变18例。彩色多普勒超声边界模糊率、形状不规则率、砂砾样钙化率、后方回声不均匀率均高于钼靶X线,差异有统计学意义(P<0.05);彩色多普勒超声灵敏度、特异度、诊断准确率均高于钼靶X线,差异有统计学意义(P<0.05);彩色多普勒超声的误诊率、漏诊率均低于钼靶X线,差异有统计学意义(P<0.05);乳腺癌患者Ⅱ级、Ⅲ级血流信号占比高于乳腺良性病变患者,差异有统计学意义(P<0.05)。结论通过彩色多普勒超声检查,能有效诊断乳腺癌,并为临床显示肿块的大小、形态、回声、血流信号等情况,提高临床诊断准确性。Objective To explore the application effect and accuracy of color Doppler ultrasound and mammography in the diagnosis of female breast cancer.Methods 80 patients with suspected breast cancer who were treated in our hospital from January 2017 to January 2020 were selected as the research subjects,all patients were examined by color Doppler ultrasound and molybdenum target X-ray.The detection rate of the two detection methods(boundary ambiguity rate,irregular shape rate,gravel calcification rate,posterior echo uneven rate)was judged by pathological examination results as the gold standard.The diagnostic efficiency of the two methods in female breast cancer diseases and the blood flow signal level of breast cancer patients and benign lesions were compared.Results Pathological examination showed that among the 80 patients,62 cases were breast cancer and 18 cases were benign breast lesions.The boundary ambiguity rate,irregular shape rate,gravel-like calcification rate,and posterior echo inhomogeneity rate of color Doppler ultrasound were higher than those of mammography target X-ray,and the differences were statistically significant(P<0.05).The sensitivity,specificity and diagnostic accuracy were higher than those of mammography target X-ray,and the difference was statistically significant(P<0.05),the proportion of gradeⅡandⅢblood flow signals in patients with breast cancer were higher than those in patients with benign lesions,and the difference was statistically significant(P<0.05).Conclusion Color Doppler ultrasonography can effectively diagnose breast cancer,and clinically display the size,shape,echo,blood flow signal of the tumor,and improve the accuracy of clinical diagnosis.

关 键 词：乳腺癌 彩色多普勒超声 钼靶X线 诊断准确率 血流信号 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]