乳腺钼靶联合多普勒超声在早期乳腺癌前病变的筛查价值  

Value of Mammography Combined with Doppler Ultrasound in Screening Early Breast Cancer

作　　者：王玉 郑雨 WANG Yu;ZHENG Yu(Imaging Department of Beilin District Traditional Chinese Medicine Hospital,Xi'an Shaanxi 710001,China)

机构地区：[1]西安市碑林区中医医院影像科,陕西西安710001

出　　处：《中华养生保健》2024年第13期165-168,共4页CHINESE HEALTH CARE

摘　　要：目的分析在早期乳腺癌前病变筛查中,采用乳腺钼靶与多普勒超声联合诊断的价值。方法抽取2020年5月—2023年5月西安市碑林区中医医院120例高度疑似乳腺癌的患者作为研究对象,患者均采用乳腺钼靶联合多普勒超声检查诊断,以病理学检查结果作为金标准,针对不同的检查方式,对其诊断的准确率、特异度和敏感度进行计算。结果120例患者经病理学检查诊断为阳性100例,阴性20例。超声检查阳性88例,阴性32例。乳腺钼靶检查阳性95例,阴性25例。联合检查阳性98例,阴性22例。联合检查的诊断准确率为93.33%,敏感度为95.00%,特异度为85.00%;超声检查诊断准确率为76.67%,敏感度为80.00%,特异度为60.00%;乳腺钼靶检查诊断准确率为87.50%,敏感度为90.00%,特异度为75.00%,联合超声检查的诊断结果明显更有优势,差异有统计学意义(P<0.05)。结论在早期乳腺癌前病变筛查中采用乳腺钼靶与多普勒超声联合筛查,能够有效提高诊断的准确率。Objective To analyze the diagnostic value of mammography combined with Doppler ultrasound in the screening of early breast cancer precancerous lesions.Methods From May 2020 to May 2023,120 patients of highly suspected breast cancer were selected.All the patients were diagnosed with Doppler ultrasound examination.This paper took pathological results as the gold standard,and the diagnostic accuracy,specificity and sensitivity were calculated according to different examination methods.Results 120 patients were diagnosed as 100 positive and 20 negative by pathological examination.Ultrasound examination was positive in 88 cases and negative in 32 cases.There were 95 cases with positive mammography and 25 cases with negative mammography.98 cases were positive in the joint examination,and 22 cases were negative.The diagnostic accuracy of combined examination is 93.33%,sensitivity is 95.00%,and specificity is 85.00%;The diagnostic accuracy of ultrasound examination is 76.67%,the sensitivity is 80.00%,and the specificity is 60.00%;The diagnostic accuracy of breast molybdenum target examination is 87.50%,the sensitivity is 90.00%,and the specificity is 75.00%.The combined ultrasound examination has a signifi cant advantage in the diagnostic results,and the diff erence in results is statistically signifi cant(P<0.05).Conclusion The combination of mammography and Doppler ultrasound in the screening of early breast cancer precancerous lesions can eff ectively improve the accuracy of diagnosis.

关 键 词：早期乳腺癌前病变筛查 乳腺钼靶 多普勒超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]