摘要
目的探讨钼靶X线联合高频彩超在乳腺癌早期筛查中的应用价值。方法选取2016年1月～2018年12月于什邡市人民医院就诊的126例早期乳腺癌患者(直径<2 cm)作为研究对象。所有患者均被序贯予以钼靶X线和高频彩超检查,比较钼靶X线、高频彩超及联合检测早期乳腺癌筛查的血流信号检出率、微钙化灶检出率及诊断准确率。结果高频彩超血流信号检出率为80.16%,高于钼靶X线的21.43%;高频彩超微细钙化检出率为33.33%,低于钼靶X线的59.52%,差异有统计学意义(P<0.05)。高频超声诊断准确率为82.54%,高于钼靶X线的80.16%,差异无统计学意义(P>0.05);而联合检查诊断准确率为96.83%,高于单用高频超声和单用钼靶X线,差异有统计学意义(P<0.05)。结论钼靶X线、高频彩超应用于乳腺癌的早期筛查各有优劣,联合应用能提高诊断乳腺癌的准确率,具有较高的临床价值。
Objective To investigate the value of mammography X-raycombined with high-frequency color Doppler ultrasound in early screening of breast cancer. Methods A total of 126 patients with early breast cancer (diameter <2 cm) who were admitted to the Shifang People's Hospital from January 2016 to December 2018 were enrolled. All patients were sequentially examined by mammography X-rayand high-frequency color Doppler ultrasound. The blood flow signal detection rate, microcalcification rate and diagnosis accuracy rate of mammography X-ray, high-frequency ultrasound and combined detection of early breast cancer were compared.Results The detection rate of high-frequency color Doppler blood flow signal was 80.16%, which was higher than 21.43% of mammography X-ray;the detection rate of high-frequency color ultra-fine calcification was 33.33%, which was lower than 59.52% of mammographyX-ray,the difference was statistically significant(P<0.05).The diagnostic accuracy of high-frequency ultrasound was 82.54%, which was higher than that ofmammography X-ray 80.16%,there was no significant difference between the two groups (P> 0.05).The accuracy of the combined examination diagnosis was 96.83%, which was higher than that of single-use high-frequency ultrasound and single-use mammography X-ray,the difference was statistically significant (P<0.05). Conclusion Mammography X-ray and high-frequency color Doppler ultrasound have advantages and disadvantages in the early screening of breast cancer. Combined application can improve the accuracy of breast cancer diagnosis and has high clinical value.
作者
冯晓庆
冯雪涛
高文莲
FENG Xiao-Qing;FENG Xue-tao;GAO Wen-lian(Department of Ultrasound,Shifang People's Hospital,Shifang 618400,Sichuan,China;Department of Ultrasound,Chengdu First People's Hospital,Chengdu 610016,Sichuan,China;Department of Ultrasound,Angel Hospital of Xi'an, Xi'an 710075,Shaanxi,China)
出处
《医学信息》
2019年第10期168-170,共3页
Journal of Medical Information
关键词
高频彩超
钼靶X线
乳腺癌
High frequency color Doppler ultrasound
Mammography X-ray
Breast cancer
作者简介
冯晓庆(1982.9-),女,四川什邡人,本科,主治医师,主要从事超声诊断学研究;通讯作者:高文莲(1984.9-),女,宁夏中卫人,本科,主治医师,主要从事超声诊断学研究.
