摘要
目的 探究和对比乳腺X线与超声检测对T1及Tis期乳腺癌的诊断效能.方法 选取2012年3月～2013年12月于我院进行系统的乳腺X线和超声检查的T1及Tis期乳腺癌患者1 500例,其中A组750例进行乳腺X线检查,B组750例进行超声检查.对比两组乳腺癌检出率和诊断准确率.结果 1 500例中共病变165例,乳腺X线和超声检查均检出的病变为1 400个.脂肪型或少量纤维腺体型乳腺,X线检查的病变检查率与超声检查对比,P＜0.05,差异具有统计学意义;多亮纤维腺体型乳腺,两中检查病变检出率对比,P＞0.05,差异不具有统计学意义.致密性乳腺,超声检查病变检出率高于X线检查, P＜0.05,差异具有统计学意义.脂肪型和少量纤维腺体型乳腺,超声检查病变检出率低于或等于X线,多量纤维腺体和致密性乳腺,则超声检查病变诊断准确率高于X线,P＞0.05,差异不具有统计学意义.结论 纤维腺体量较少的患者乳腺X线检查的病变检出率与诊断准确率更高,而纤维腺体量较多的患者超声检查的病变检出率和诊断准确率更高.根据X线病变类型进行分组,病变类型与纤维体类型有一定的关系.
Objective To explore and compare the breast X-ray and ultrasonic testing of T1 and Tis the effectiveness of breast cancer diagnosis.Methods Selected 1 500 cases from March 2012 to December 2013 systematic breast X-ray and ultrasound examination in our hospital T1 and Tis breast cancer patients, included patients with breast X-ray examination of 750 cases of group A, B group of 750 cases of ultrasound examination. Compared two groups of breast cancer detection rate and diagnostic accuracy. Results 1 500 patients with lesions in 165 cases of the CCP, breast X-ray and ultrasound examination of the lesions were detected in 1 400. A small amount of fat or fiber type mammary glands, lesions and ultrasound examination rate of X-ray contrasting, P〈0.05, was difference had statistically significance, more light fiber mammary glands, both checked contrast lesion detection rate,P〉0.05, was no difference had statistically significance. dense breast, ultrasound lesion detection rate was higher than the X-ray examination,P〈0.05, was difference had statistically significance. A small amount of fat and fiber type mammary glands, ultrasound lesion diagnostic accuracy rate was lower than the X-ray, a large number of fibers and dense breast glands, the ultrasound lesions with high accuracy in the X-ray,P〉0.05, was no difference had statistically significance.Conclusion The small amount of fiber gland lesion detection rate and diagnostic accuracy in patients with breast X-ray examination of higher and higher in patients with large amounts of fiber gland ultrasonography lesion detection rate and diagnostic accuracy. Grouped according to the type of X-ray lesion, lesion type and the type of fibers have a certain relationship.
出处
《中国继续医学教育》
2015年第31期56-58,共3页
China Continuing Medical Education
