超声和钼靶X线摄影对乳腺癌患者诊断价值比较

    Comparison of the value of ultrasound and molybdenum-target X-ray photography in the diagnosis of breast cancer

    • 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。

       

      Abstract: 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.

       

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