| 摘要: |
| ［摘要］ 目的 系统、定量地评价超声及钼靶成像技术对乳腺疾病的诊断准确性及诊断特点，为乳腺疾病选择影像学检查提供有价值的指导。方法 分析228例患者237个乳腺结节彩色多普勒超声及钼靶声像学特征，以病理组织结果为金标准，评价多普勒超声、钼靶以及两者联合对乳腺疾病良恶性诊断价值。结果 本组病理检查结果良性188例（194个结节），恶性40例（43个结节）；彩色多普勒超声诊断恶性病变灵敏度为46.5%，特异度为80.4%，正确率为74.2%；X线钼靶诊断乳腺恶性肿瘤的灵敏度为55.8%，特异度为75.2%，正确率为71.7%；两者结合诊断乳腺恶性肿瘤灵敏度为90.6%，特异度为89.6%，正确率为89.8%。结论 多普勒超声及钼靶检查对乳腺肿块定性诊断均有较高价值，两者结合可提高鉴别乳腺肿瘤良恶性正确率，在临床诊断及制定治疗方案上有重要的指导价值。 |
| 关键词: 乳腺超声 X线钼靶 乳腺肿块 |
| DOI：10.3969/j.issn.1674-3806.2013.03.14 |
| 分类号:R 445.1 |
| 基金项目: |
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| Analysis on ultrasound and X-ray mammography in diagnosis of benign and malignant breast disease |
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MO Xian-ling, PENG Chang-li
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Department of Ultrasound,Laibin People’s Hospital, Guangxi 546100, China
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| Abstract: |
| ［Abstract］ Objective To systematically and quantitatively evaluate the diagnosis accuracy and diagnostic characteristics of ultrasound and molybdenum target imaging technique for breast disease and provides valuable guidance for selection of image examination for breast diseases.Methods The ultrasonographic characteristics of color Doppler ultrasound and molybdenum target imaging of 237 mammary nodules in 228 cases were analyzed and histopathological findings was used as a gold standard to compare and analyze the diagnostic value of Doppler ultrasound, X-ray mammography or their union for benign and malignant breast lesions.Results Benign lesion was found in 188 cases (194 nodules), malignant in 40 cases (43 nodules).Color Doppler ultrasound in diagnosis of malignant lesions had a sensitivity of 46.5%, specificity of 80.4%, accuracy of 74.2%, X-ray mammography in diagnosis of breast malignant lesion had a sensitivity of 55.8%, specificity of 75.2%, accuracy of 71.7%, the combination of two methods in diagnosis of breast malignant lesion had a sensitivity of 90.6%, specificity of 89.6%, accuracy of 89.8%.Conclusion Doppler ultrasonography and X-ray mammography in the diagnosis of breast cancer have a higher value; the combination of the two methods can improve the accuracy of differential diagnosis for breast benign and malignant tumors and has important clinical value in the diagnosis and establishing of treatment plan. |
| Key words: Breast ultrasound X-ray mammography Breast masses |
