摘要
目的研究彩色多普勒超声联合X线钼靶对乳腺癌的诊断价值。方法选择2020年1月—2023年3月赤峰市医院收治的82例疑似乳腺癌患者作为研究对象,所有患者均进行彩超与X线钼靶检查,观察比较彩色多普勒超声、X线钼靶单独及联合应用的诊断效能。结果病理检查显示:乳腺癌45例(54.88%),乳腺良性病变37例(45.12%)。以病理检查为金标准,则彩超检查的准确率、灵敏度、特异度、阳性预测值、阴性预测值分别为71.95%、66.67%、78.38%、78.95%、65.91%,X线钼靶检查的准确率、灵敏度、特异度、阳性预测值、阴性预测值分别为80.49%、80.00%、81.08%、83.72%、76.92%,联合检查的准确率、灵敏度、特异度、阳性预测值、阴性预测值分别为95.12%、93.33%、97.30%、97.67%、92.31%,彩超联合X线钼靶检查诊断乳腺癌的准确率、灵敏度、特异度、阳性预测值及阴性预测值均高于单一检查,差异有统计学意义(P<0.05)。结论彩超联合X线钼靶检查可有效提高乳腺癌诊断效能,具有较高的应用价值。
Objective To study the diagnostic value of color Doppler ultrasound combined with X-ray molybdenum target in breast cancer.Methods The study subjects were 82 suspected breast cancer patients admitted to our hospital from January 2020 to March 2023.All patients were examined by color Doppler ultrasound and X-ray molybdenum target.The diagnostic efficacy of color Doppler ultrasound and X-ray molybdenum target alone and in combination was observed and compared.Results Pathological examination showed that there were 45 cases of breast cancer(54.88%)and 37 cases of benign breast lesions(45.12%).Using pathological examination as the gold standard,the accuracy,sensitivity,specificity,positive predictive value,and negative predictive value of color Doppler ultrasound examination are 71.95%,66.67%,78.38%,78.95%,and 65.91%,respectively.The accuracy,sensitivity,specificity,positive predictive value,and negative predictive value of X-ray molybdenum target examination are 80.49%,80.00%,81.08%,83.72%,and 76.92%,respectively.The accuracy,sensitivity,specificity,positive predictive value and negative predictive values of combined examination are 95.12%,93.33%,97.30%,97.67%and 92.31%respectively.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of color ultrasound combined with X-ray molybdenum target examination in the diagnosis of breast cancer were higher than those of single examination,statistically significant difference(P<0.05).Conclusion Color Doppler ultrasound combined with X-ray molybdenum target examination can effectively improve the diagnostic efficiency of breast cancer,and has high application value.
作者
刘立强
张伟
LIU Li-qiang;ZHANG Wei(Department of Radiology,Chifeng City Hospital,Chifeng Inner Mongolia 024000,China;Nuclear Medicine Department,Chifeng City Hospital,Chifeng Inner Mongolia 024000,China)
出处
《中华养生保健》
2024年第1期43-46,共4页
CHINESE HEALTH CARE
关键词
乳腺癌
彩色多普勒超声
X线钼靶
breast cancer
color Doppler ultrasound
X-ray molybdenum target
