三种检查方法对乳腺疾病的诊断价值

Control Study of Three Different Examinations in Diagnosis of Breast Disease

目的探讨三算子扫描仪、多普勒彩色超声及钼靶X线摄影对乳腺疾病的诊断价值。方法对578例经手术和病理检查证实的乳腺良、恶性疾病患者术前均采用三算子扫描、彩超及X线进行诊断。结果对于乳腺增生性疾病、乳腺癌三种检查方法诊断符合率在87.61%～91.91%之间,三者间无统计学意义(P>0.05);对于乳腺良性肿瘤的诊断符合率彩超优于X线(P<0.05)。对于≤35岁乳腺癌的诊断符合率三算子、彩超均优于X线(P<0.05),对于35～50岁乳腺癌三者之间无差别(P>0.05),对于≥50岁乳腺癌X线明显优于三算子、彩超(P<0.05)。对于肿块<2 cm的乳腺癌诊断符合率三算子、彩超优于X线(P<0.05),而对于无肿块仅伴有恶性钙化征象的诊断符合率X线明显优于三算子(P<0.05)。结论三种检查方法对乳腺良、恶性疾病都有较高的诊断价值,且对于乳腺癌的诊断具有互补性。X线适合50岁以上以及有恶性钙化灶的患者,彩超适合于各种类型的乳房,可弥补X线的不足,三算子对乳腺疾病的敏感性、准确性与彩超相当。

Objective To study the diagnostic value of TRI scanning, colored ultrasonic doppler and mammography in the diagnosis of breast diseases. Methods 578 patients with malignant and benign breast diseases were all confirmed by surgery and pathological examinations. All the patients were examined by TRI scanning, colored ultrasonic doppler and mammography. Resalts The positive diagnosic rate of the three exams in hyperplasia masses and breast cancer were 87.61% -91.91% ,there is no significant difference （ P 〉 0.05 ）. There is significant difference of the positive diagnosic rate in malignant breast tumor between colored ultrasonic Doppler and mammography, colored ultrasonic doppler is better than mammography （ P 〈 0.05 ）. There is significant difference of the positive diagnosic rate in breast cancer which were yanger than 35 years ,TRI scanning and colored ultrasonic doppler is better than mammography （ P 〈 0.05 ）. There were no significant difference （ P 〉 0.05 ） of the positive diagnosic rate of the three exams in breast cancer which were between 35 years and 50years. There is significant difference of the positive diagnosic rate of the three exams in breast cancer which were older than 50 years, mammography is better than TRI scanning and colored ultrasonic doppler （ P 〈 0.05 ）. There is significant difference of the positive diagnosic rate of the three exams in breast cancer which diameter 〈 2cm, TRI scanning and colored ultrasonic doppler is better than mammography （ P 〈 0.05 ）. There is significant difference of the positive diagnosic rate of the three exams in breast cancer which display malignant microealeification only but no masses, mammography is better than TRI scanning（ P 〈 0.05 ）. Conclusion Three examinations all were valuable diagnosic indicators of breast diseases no matter benign or malignant, they have complementarity in diagnosing the breast cancer. Mammography suits in the patients which were older than 50 years and displayed malignant microcaleification. Colored ultrasonic doppler suits in various types model breast, may make up mammography insufficiency. TRI scanning is equal colored ultrasonic doppler in the sensitivity,accuracy of the diagnosis for the breast disease.