乳腺X线与彩超联合检查在乳腺癌筛查中的临床意义  

Clinical significance of molybdenum target X-ray combined with color Doppler ultrasound in breast cancer screening

作　　者：崔浩鹏 李铭[1] 王海彬[1] 夏旭东 范晓云[1] Cui Haopeng;Li Ming;Wang Haibin;Xia Xudong;Fan Xiaoyun(Department of Medical Imaging,Anyang Cancer Hospital,Anyang,Henan 455000,China)

机构地区：[1]安阳市肿瘤医院医学影像科,河南安阳455000

出　　处：《齐齐哈尔医学院学报》2024年第7期658-660,共3页Journal of Qiqihar Medical University

摘　　要：目的 探讨乳腺X线与彩超联合检查在乳腺癌早期筛查中的应用价值。方法 回顾性分析2020年3月—2023年4月本院收治的疑似早期乳腺癌患者60例的临床资料,所有患者均行乳腺X线检查、彩超检查、二者联合检查,以病理检查结果作为金标准。比较两种检查方式的诊断结果、诊断价值。结果 60例疑似早期乳腺癌患者经金标准检查结果显示,确诊为恶性病变53例,良性病变7例;乳腺X线检测检查检查确诊为恶性39例,良性21例;彩超检查结果检查确诊为恶性36例,良性24例;联合检查结果检查确诊为恶性49例,良性11例;乳腺X线、彩超检查与两者联合诊断的特异度比较,差异均无统计学意义(P>0.05);乳腺X线联合彩超检查的灵敏度、准确率高于乳腺X线、彩超检查,差异有统计学意义(P<0.05);乳腺X线对钙化征象的检出率高于彩超检查,乳腺X线联合彩超检查肿块、钙化的检出率高于乳腺X线、彩超检查,差异有统计学意义(P<0.05)。结论 乳腺X线与彩超检查均能够对早期乳腺癌进行正确诊断,二者联合检查对早期乳腺癌良恶性病变的检出率更高,且联合检查的灵敏度及特异度更高,诊断价值明显优于单一检查。Objective To explore the application value of molybdenum target X-ray combined with color Doppler ultrasound in early screening of the breast cancer.Methods 60 patients with suspected early stage breast cancer who were admitted to Anyang cancer hospital from March 2020 to April 2023 were selected retrospectively as the research objects.All patients were examined by molybdenum target X-ray,color Doppler ultrasound and their combination,and the results of pathological examination were taken as the gold standard.The diagnostic results and diagnostic value of the two methods were compared.Results Pathological examination showed that 53 cases were malignant and 7 cases were benign.Molybdenum target X-ray confirmed that 39 cases were malignant and 21 cases were benign.36 cases were diagnosed as malignant and 24 cases as benign by color Doppler ultrasound.Combined examination results showed that 49 cases were malignant and 11 cases were benign.There was no significant difference in specificity among molybdenum target X-ray and color Doppler ultrasound examination and their combined diagnosis(P>0.05).The sensitivity and accuracy of molybdenum target X-ray combined with color Doppler ultrasound were higher than those of mammography and color Doppler ultrasound,and the differences were statistically significant(P<0.05).The detection rate of calcification by molybdenum target X-ray was higher than that by color Doppler ultrasound,and the detection rate of lump and calcification by mammography combined with color Doppler ultrasound was higher than that by molybdenum target X-ray and color Doppler ultrasound,with statistical significance(P<0.05).Conclusions Both molybdenum target X-ray and color Doppler ultrasound can correctly diagnose early breast cancer,and the detection rate of benign and malignant lesions of early stage breast cancer is higher by combining them,and the sensitivity and specificity of combined examination are higher,and the diagnostic value is obviously better than that of single examination.

关 键 词：乳腺X线 彩超 乳腺癌 诊断价值 

分 类 号：R737.9[医药卫生—肿瘤]