摘要
目的:比较超声和钼靶X线摄影在乳腺癌中的诊断价值。方法:78例疑似乳腺癌患者先使用二维超声检查患者乳腺的各个象限,再使用彩色多普勒观察患者肿块内部和周边血流形态及分布,测定血流阻力指数值;钼靶X线摄影分别于患者双乳头足位和45°斜位进行摄片,必要时可加侧位或局部点压位摄片。将检查结果与临床病理结果相比较。结果:78例疑似乳腺癌患者中,钼靶X线摄影诊断正确率为78.21%,低于超声诊断正确率89.74%(P<0.05)。超声诊断乳腺癌坏死和乳腺癌病变范围正确率均明显高于钼靶X线摄影(P<0.01),而乳腺癌腋窝淋巴结转移正确率与钼靶X线摄影差异无统计学意义(P>0.05)。超声诊断钙化灶正确率明显低于钼靶X线摄影(P<0.01)。结论:超声与钼靶X线摄影在诊断乳腺癌时各具有一定优势,临床诊断乳腺癌患者时可根据实际情况选择单独或联合使用2种检查方法,以提高临床诊断准确率。
Objective： To compare the value of ultrasound and molybdenum-target X-ray photography in the diagnosis of breast cancer. Methods： Each quadrant of breast in 78 patients suspected with breast cancer was detected by two-dimensional ultrasound. The morphology and distribution of blood flow of the internal and peripheral location of mass of patients,which was used to measure the resistance index（ RI） value. The foot and 45° oblique positions of two papillas in the patients were detected using molybdenum-target X-ray photography,and if necessary,the side or local point could be detected using the mammography X-ray. The results between examination and clinicopathology were compared. Results： Among 78 patients suspected with breast cancer,the diagnostic accuracy rate of mammography X-ray（ 78. 21%） was lower than that of ultrasound（ 89. 74%）（ P〈0. 05）. The diagnostic accuracy rate of the necrosis and extent of breast cancer of ultrasound were significantly higher than those of mammography X-ray（ P〈0. 01）,the difference of the diagnostic accuracy rate in axillary lymph node metastasis between mammography X-ray and ultrasound was not statistically significant（ P〉0. 05）. The diagnostic accuracy rate of calcification of ultrasound was significantly lower than that of mammography X-ray（ P〈0. 01）. Conclusions： Ultrasound and mammography X-ray have its certain advantage in the diagnosing of breast cancer. The diagnostic methods can be selected according to actual situation,which can improve the clinical diagnosis accuracy.
出处
《蚌埠医学院学报》
CAS
2016年第6期797-800,共4页
Journal of Bengbu Medical College
关键词
乳腺肿瘤
超声检查
钼靶X线摄影
诊断
breast cancer
ultrasound
mammography X-ray photography
diagnosis
