超声联合X线钼靶检查对乳腺癌的诊断价值  

Diagnostic Value of Ultrasound Combined with X-ray Mammography in Breast Carcinoma

作　　者：田甜 TIAN Tian(Wenchang City People’s Hospital,Wenchang 571300,China)

机构地区：[1]文昌市人民医院,海南文昌571300

出　　处：《中外医学研究》2022年第36期65-68,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究乳腺癌开展超声及X线钼靶联合诊断的价值。方法:研究群体为2020年8月-2021年8月文昌市人民医院放射科接收的疑似乳腺癌患者100例。全部患者入院后均开展超声及X线钼靶检测,并将病理检查结果作为判断影像学诊断方式准确性的依据。分析病理检查结果情况,分析超声检查、X线钼靶检查及超声联合X线钼靶检查结果,对比超声、X线钼靶单一检查方式与联合检查的诊断效能。结果:100例疑似患者病理检查结果:乳腺癌40例(40.00%),乳腺良性肿瘤60例(60.00%)。40例乳腺癌患者中,18例(18.00%)为导管原位癌,22例(22.00%)为浸润性导管癌。60例乳腺良性肿瘤患者中,7例(7.00%)为乳腺炎,4例为导管内乳头瘤(4.00%),30例(30.00%)为纤维乳腺病,19例(19.00%)为纤维瘤。超声检查结果:恶性45例(45.00%),良性55例(55.00%);X线钼靶检查结果:恶性44例(44.00%),良性56例(56.00%);超声联合X线钼靶检查结果:恶性46例(46.00%),良性54例(54.00%)。在敏感度、特异度、阴性预测值、阳性预测值及准确度方面,超声检查依次为75.00%、75.00%、81.82%、66.67%、75.00%,X线钼靶检查依次为80.00%、80.00%、85.71%、72.73%、80.00%,超声联合X线钼靶检查依次为95.00%、86.67%、96.30%、82.61%、90.00%。超声、X线钼靶单一检查方式敏感度、准确度均低于超声联合X线钼靶检查(P<0.05)。结论:乳腺癌患者开展超声联合X线钼靶检查,能提升诊断准确度,有一定诊断价值。Objective:To discuss the diagnostic value of ultrasound combined with X-ray mammography in the diagnosis of breast carcinoma.Method:The research group was 100 suspected breast cancer patients who received in the Radiology Department of Wenchang City People’s Hospital from August 2020 to August 2021.All patients were given ultrasound and X-ray mammography after admission,the results of pathological examination were taken as the basis for judging the accuracy of imaging diagnosis.The pathological examination results were analyzed,the results of ultrasound examination,X-ray molybdenum examination and ultrasound combined X-ray molybdenum examination were analyzed,the diagnostic efficacy of ultrasound and X-ray molybdenum single examination and ultrasound combined X-ray molybdenum examination were compared.Result:Pathological examination results showed breast carcinoma 40 cases(40.00%)and benign breast neoplasm 60 cases(60.00%).Among 40 breast carcinoma patients,there were 18 cases(18.00%)of ductal carcinoma in situ and 22 cases(22.00%)of invasive ductal carcinoma.Among 60 benign patients,there were mammitis of 7 cases(7.00%),intraductal papilloma of 4 cases(4.00%),fibrotic mammary disease of 30 cases(30.00%)and fibroma of 19 cases(19.00%).The ultrasound showed malignant 45 cases(45.00%)and benign 55 cases(55.00%);X-ray mammography showed malignant 44 cases(44.00%)and benign 56 cases(56.00%);the ultrasound combined with X-ray mammography showed malignant 46 cases(46.00%)and benign 54 cases(54.00%).The diagnosis sensitivity,specificity,negative predictive value,positive predictive value and accuracy,ultrasound examination were 75.00%,75.00%,81.82%,66.67% and 75.00%;X-ray mammography examination were 80.00%,80.00%,85.71%,72.73% and 80.00%;ultrasound combined with X-ray mammography examination were 95.00%,86.67%,96.30%,82.61% and 90.00%.The sensitivity,accuracy of ultrasound and X-ray molybdenum target single examination were lower than that of ultrasound combined with X-ray mammography examination(P<0.05).Conclusion:U

关 键 词：X线钼靶 超声 乳腺癌 诊断测值 

分 类 号：R737.9[医药卫生—肿瘤]