摘要
目的探讨超声联合钼靶X射线对乳腺癌患者保乳术前的应用评估价值。方法选取2016年1月至2017年1月间长庆石油勘探局有限公司矿区服务事业部职工医院收治的70例乳腺癌患者,采用彩色多普勒超声、钼靶X射线及两者联合的检查方法,评估患者乳腺病灶、腋窝淋巴结状态及是否可行保乳术。结果彩色多普勒超声联合钼靶X射线检查对乳腺癌患者病灶检出率和病理学结果均高于单独彩色多普勒超声与钼靶X射线检查,差异均有统计学意义(均P <0. 05)。乳腺癌术后病理检出35例患者腋窝淋巴结转移,钼靶漏诊25例,彩色多普勒漏诊9例。彩色多普勒超声联合钼靶X射线检出率与单独钼靶X射线比较,差异有统计学意义(P <0. 05),与彩色多普勒超声检出率比较,差异无统计学意义(P> 0. 05)。彩色多普勒超声检查灵敏度为85. 0%,特异度为90. 0%,准确度为87. 1%;钼靶X射线检查灵敏度为79. 5%,特异度为93. 7%,准确度为85. 7%;彩色多普勒超声联合钼靶X射线检查灵敏度为86. 7%,特异度为93. 8%,准确度为90. 0%。彩色多普勒超声和彩色多普勒超声联合钼靶X射线均高于钼靶X射线,差异均有统计学意义(均P <0. 05)。术前行彩色多普勒超声联合钼靶X射线检查,对是否可行保乳术的准确度明显高于其他两组(均P <0. 05)。结论彩色多普勒超声联合钼靶X射线可为乳腺癌患者是否行保乳术的确立提供更详细准确的依据,具备推广优势。
Objective To evaluate the value of ultrasonography combined with molybdenum target X-ray before the application of breast conserving surgery.Methods Between January 2016 and January2017,70 patients with breast cancer treated at Staff Hospital,Mining and minerals sector services,Changqing Petroleum Exploration Bureau Co.,Ltd.were selected.Color Doppler ultrasound,molybdenum target X-ray,and color Doppler ultrasound combined with molybdenum target X-ray inspection were used respectively and breast lesions,axillary lymph node status,and whether it is feasible to perform breast conserving surgery were evaluated.Results The detection rate of breast lesions by color Doppler ultrasound combined with molybdenum target X-ray was significantly higher than that by color Doppler ultrasound or molybdenum target X-ray alone(all P<0.05).Pathological analysis revealed that axillary lymph node metastasis occurred in 35 patients.There was 25 missed diagnosis for color Doppler ultrasound and 9 missed diagnosis for molybdenum target X-ray(P<0.05).There was significant difference in detection rate between the combination detection and color Doppler ultrasound(P<0.05)but the difference in detection rate between the combination detection and molybdenum target X-ray was not significant(P>0.05).The sensitivity was85.0%,specificity was 90.0%and accuracy was 87.1%for color Doppler ultrasound.The sensitivity was79.5%,specificity was 93.7%and accuracy was 85.7%for molybdenum target X-ray.The sensitivity was86.7%,specificity was 93.8%and accuracy was 90.0%for the combination detection.In general,the color Doppler ultrasound and the combination detection were better than molybdenum target X-ray(all P<0.05).In addition,the accuracy of color Doppler ultrasonography combined with molybdenum target X-ray in evaluating the feasibility of breast preservation surgery was higher than that of the other two methods(P<0.05).Conclusion Color doppler ultrasonography combined with molybdenum target X-ray can provide more detailed and accurate basis for the
作者
石玲萍
刘艳
蒋顺和
何雪梅
SHI Ling-ping;LIU Yan;JIANG Shun-he;HE Xue-mei(Department of Radiology,Staff Hospital,Mining and minerals sector services,Changqing Petroleum Exploration Bureau Co.,Ltd.,Xi'an 710018,China)
出处
《中国肿瘤临床与康复》
2019年第6期701-704,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
乳腺肿瘤
保乳术
钼靶
超声检查
Breast neoplasms
Breast conserving surgery
Molybdenum target
Ultrasound exam
