乳腺钼靶检查在早期乳腺癌筛查中的价值分析

The value analysis of mammography in early breast cancer screening

目的 讨论乳腺钼靶检查在早期乳腺癌筛查中的作用。方法 190例进行乳腺癌筛查的疑似早期乳腺癌患者,均通过乳腺钼靶检查,将检查结果和临床最终病理确诊结果进行比较,分析乳腺钼靶检查在早期乳腺癌筛查中的价值。结果 190例疑似乳腺癌患者经病理检验确诊162例,经过乳腺钼靶检查检出156例,乳腺钼靶检出率为82.11%(156/190)与病理诊断的84.21%(162/190)比较,差异无统计学意义(P>0.05)。乳腺钼靶检查早期乳腺癌的阳性预测值、阴性预测值、敏感度、特异度、准确度、约登指数分别为98.72%、76.47%、95.06%、92.86%、94.74%、87.92%。结论 在早期乳腺癌的筛查中应用乳腺钼靶检查具有较高的应用价值,能够为临床的诊断和治疗工作提供科学的参考,值得推荐。

Objective To discuss the role of mammography in early breast cancer screening. Methods Mammography was performed in 190 suspected early breast cancer patients who underwent breast cancer screening. The examination results were compared with the final clinical pathological diagnosis results to analyze the value of mammography in early breast cancer screening. Results Among 190 suspected breast cancer patients, 162 cases were diagnosed by pathological examination, and 156 cases were detected by mammography.The detection rate of mammography was 82.11%(156/190), which was not statistically significant compared with 84.21%(162/190) of pathological diagnosis(P>0.05). The positive predictive value, negative predictive value, sensitivity, specificity, accuracy, and Youden index of mammography in early breast cancer were 98.72%,76.47%, 95.06%, 92.86%, 94.74%, and 87.92%, respectively. Conclusion The application of mammography has high application value in the screening of early breast cancer, which can provide scientific reference for clinical diagnosis and treatment, and is worthy of recommendation.