摘要
目的比较早期乳腺癌（Tis及T1期）X线和超声检查的诊断效能。方法回顾性分析2011年1月-2014年8月到大连市第三人民医院就诊的经手术病理确诊的影像学资料完整的早期女性乳腺癌患者2045例，比较超声和X线检查的诊断效能。结果乳腺癌X线整体检出率为97．2％，超声整体检出率为96．5％，两者比较差异无统计学意义（p〉0．05）。少量纤维腺体型、脂肪型、多量纤维腺体型乳腺癌X线检查准确率高于超声，差异有统计学意义（P〈0．05）；致密型乳腺癌X线检查准确率低于超声，差异有统计学意义（P〈0．05）。结论对于不同类型的乳腺癌，X线和超声检查各有优势，为增加乳腺癌诊断准确率，可将两种方法进行适当结合。
Objective To compare the diagnostic efficacy by X-ray and ultrasound in breast cancer at early stage （T1 and Tis）. Methods Two thousand and forty-five cases of female breast cancer at early stage in the Third People＇s Hospital of Dalian from January, 2011 to August, 2014 with complete imaging data were analyzed retrospectively. The diagnostic efficacy of X-ray and ultrasound was compared. Results The overall detection rates of breast cancer by X-ray and by ultrasound were 97.2% and 96.5% respectively, and the difference between them was of no statistical significance （P 〉 0.05）. The accuracy rates of breast cancer of scattered fibroglandular type, fatty type and heterogeneous type by X-ray were higher than those by ultrasound, and the differences were statistically significant （P 〈 0.05）. However, the accuracy rate of X-ray examination of dense breast cancer was lower than that of ultrasound, and the difference was statistically significant （P 〈 0.05）. Conclusion For different types of breast cancers, X-ray and ultrasound have their own advantages, and they can be combined properly to promote the diagnostic accuracy.
出处
《中国实用乡村医生杂志》
2017年第2期63-64,共2页
Chinese Practical Journal of Rural Doctor
关键词
乳腺癌
X线
超声
诊断效能
Breast Cancer
X-ray
Ultrasound
Diagnostic Efficacy
