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超声与钼靶X线对小乳腺癌的诊断价值 被引量:42

Value of high frequency ultrasound and mammography in diagnosis of small breast cancer
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摘要 目的评价乳腺高频超声、钼靶X线及两者联合应用对小乳腺癌(直径<2 cm)的诊断价值。方法选取经病理证实和手术治疗的80例乳腺小肿块患者,所有患者术前行高频超声和钼靶X线检查。比较二者单独应用和联合应用的诊断符合率。结果 80例乳腺肿块患者中,病理诊断乳腺癌患者57例,高频超声与病理诊断符合率为80.7%(46/57),钼靶X线与病理诊断符合率为86.0%(49/57),二者联合应用与病理诊断符合率为96.5%(55/57)。单独应用高频超声与钼靶X线诊断结果比较,差异无统计学意义。联合应用两种检查方法的诊断符合率明显高于单独使用一种检查方法,差异有统计学意义。结论高频超声与钼靶X线对乳腺癌的诊断作用具有互补性,二者联合应用可以显著提高小乳腺癌的诊断准确率,对小乳腺癌的早期诊断具有重要意义。 Objective To evaluate the value of high frequency ultrasound, mammography and combination of the two methods in diagnosis of small breast cancer ( diameter 〈 2 cm ). Methods Eighty patients with small breast lumps were confirmed by pathology and surgery. All the patients were examined by high frequency ultrasound and mammography, the diagnosis coincidence rate of each method and combination of the two methods were analyzed. Results There were 57 cases of small breast cancer (46/57), the diagnosis coincidence rate of high frequency ultrasound was 80. 7% (46/57), that of mammography was 86. 0 % (49/57), and that of the combined diagnosis was 96.5% (55/57), there was no significant difference between single method ( P 〉 0. 05 ) , there was significant difference of the diagnosis coincidence rate between combination method and single method( P 〈 0.05 ). Conclusion High frequency ultrasound and mammography are supplement for each other in early diagnosis of small breast cancer. The combination of the two methods can improve the diagnosis coincidence rate of small breast cancer.
出处 《临床超声医学杂志》 2011年第5期307-310,共4页 Journal of Clinical Ultrasound in Medicine
关键词 超声检查 钼靶X线 小乳腺癌 High frequency ultrasound Mammography Small breast cancer
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参考文献10

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