摘要
本研究的目的是探讨超声和钼靶X线检查在更年期女性乳腺微小肿块诊断中的价值。选取乳腺微小肿块更年期女性患者115例,其中良性与恶性病变分别为79例和36例。患者均进行超声和钼靶X线检查,分析两种方法的图像特征及诊断价值。恶性病变超声图像边缘不光滑、有微钙化、纵横比>0.8比例、钼靶微小钙化比例明显高于良性病变(P<0.05);超声诊断恶性病变的灵敏性、准确性和阴性预测值明显高于钼靶X线检查(P<0.05)。直径1~2 cm恶性病灶钼靶诊断准确性明显高于直径<1 cm恶性病灶(P<0.05);直径<1 cm恶性病灶时,超声诊断准确性明显高于钼靶X线检查(P<0.05)。超声在更年期女性乳腺微小肿块诊断中的价值优于钼靶X线检查,尤其在直径<1 cm病灶中。
The purpose of this study was to explore the value of ultrasound and molybdenum target X-ray in the diagnosis of small breast lumps in climacteric women.115 climacteric female patients with small breast lumps were selected,including 79 cases of benign and 36 cases of malignant lesions.All patients were examined by ultrasound and molybdenum target X-ray,and the image characteristics and diagnostic value of the two methods were analyzed.The ultrasonic image edge of malignant lesions was not smooth,microcalcifications,the proportion of aspect ratio more than 0.8,and the proportion of microcalcifications in molybdenum target X-ray was significantly higher than that in benign lesions(P<0.05).The sensitivity,accuracy and negative predictive value of ultrasound in the diagnosis of malignant lesions were significantly higher than those of molybdenum target X-ray(P<0.05).The diagnostic accuracy of molybdenum target X-ray for malignant lesions with a diameter of 1-2 cm was significantly higher than that of malignant lesions with a diameter less than 1 cm(P<0.05).When the diameter of malignant lesions was less than 1 cm,the diagnostic accuracy of ultrasound was significantly higher than that of molybdenum target X-ray(P<0.05).The value of ultrasound in the diagnosis of small breast lumps for climacteric women is better than molybdenum target X-ray,especially when the lesions diameter less than 1 cm.
作者
张晓华
魏战友
ZHANG Xiaohua;WEI Zhanyou(Department of Ultrasound,Fuyang Sixth People’s Hospital,Fuyang 236000,Anhui,P.R.China;Department of Ultrasound,Fuyang Cancer Hospital,Fuyang 236000,Anhui,P.R.China)
出处
《影像科学与光化学》
CAS
北大核心
2022年第4期868-872,共5页
Imaging Science and Photochemistry
关键词
超声
钼靶X线
更年期
乳腺微小肿块
诊断价值
ultrasound
molybdenum target X-ray
the menopause
small breast lumps
diagnostic value
