超声造影联合乳腺钼靶X线对乳腺导管内乳头状瘤的诊断价值  

Diagnostic Value of Contrast-enhanced Ultrasound Combined with Mammography in Intraductal Mammary Papilloma

作　　者：郭志勇 GUO Zhiyong(The Second Affiliated Hospital of Baotou Medical College,Inner Mongolia 014000,China)

机构地区：[1]包头医学院第二附属医院,内蒙古014000

出　　处：《影像技术》2024年第4期70-74,共5页Image Technology

摘　　要：目的:研究分析超声造影联合乳腺钼靶X线对乳腺导管内乳头状瘤(DIP)的诊断价值。方法:选取我院在2022年1月-2024年1月期间收治的60例疑似DIP患者采取超声造影、乳腺钼靶X线检查,对比分析检查结果。结果:60例疑似DIP患者经病理检查显示,将病理检查结果作为金标准,阳性检出56例,超声造影阳性检出46例,乳腺钼靶X线检出43例,阳性检出率分别为76.67%、71.67%,联合检查阳性检出55例,阳性检出率91.67%。敏感度、特异度和准确度对比,超声造影与乳腺钼靶X线比较无差异(P>0.05),联合检查敏感度和准确度则要高于超声造影、乳腺钼靶X线检查(P<0.05)。结论:在DIP的临床诊断中,采用超声造影、乳腺钼靶X线均有着良好优势,但是两者联合检测能够进一步提高诊断准确性。Objective:To study the diagnostic value of contrast-enhanced ultrasound combined with mammography in intraductal mammary papilloma(DIP).Methods:60 cases of suspected DIP patients ad-mitted to our hospital from January 2022 to January 2024 were examined by contrast-enhanced ultra-sound and mammography,and the results were compared and analyzed.Results:Among the 60 suspected DIP patients,pathological examination,which served as the gold standard,confirmed 56 positive cases.Taking this result as the gold standard,46 cases were detected by contrast-enhanced ultrasound,43 cases were detected by mammography,with a detection rate of 76.67%and 71.67%respectively,whereas the combined examination detected 55 cases,resulting in a detection rate of 91.67%.There was no signifi-cant difference in sensitivity,specificity,and accuracy between contrast-enhanced ultrasound and mam-mography(P>0.05).However,combining both methods significantly improved sensitivity and accuracy compared to either method alone(P<0.05).Conclusion:In the clinical diagnosis of DIP,contrast-enhanced ultrasound and mammography have their own advantages,but the combined detection of both can further improve the diagnostic accuracy.

关 键 词：超声造影 乳腺钼靶X线 乳腺导管内乳头状瘤 

分 类 号：R737.9[医药卫生—肿瘤]