超声与钼靶X线对乳腺浸润性导管癌诊断意义的临床分析

Clinical Analysis of the Diagnostic Value of Mammography and Ultrasonography in Invasive Tubular Breast Carcinoma

目的探讨超声与钼靶X线对乳腺浸润性导管癌的诊断意义。方法对268例乳腺疾病患者进行回顾性分析,将其分为绝经前后2组,以病理结果为金标准,比较超声及钼靶X线的诊断准确性。结果绝经前组:超声的灵敏度、特异度及诊断符合率分别为87.7%、90.7%和89.4%,钼靶X线的灵敏度、特异度及诊断符合率分别为63.2%、89.3%和78.0%;绝经后组:超声的灵敏度、特异度及诊断符合率分别为90.0%、93.4%和91.9%,钼靶X线的灵敏度、特异度及诊断符合率分别为86.7%、90.8%和90.0%。结论超声与钼靶X线的应用,对乳腺浸润性导管癌的诊断有很大价值;钼靶X线在绝经前患者的灵敏度明显低于绝经后患者;在绝经前患者中,超声的灵敏度及诊断符合率明显高于钼靶X线。

Objective To investigate the diagnostic value of mammography and uhrasonography in patients with invasive tubular breast carcinoma. Methods One hundred and ninetyseven patients with breast diseases were reviewed retrospectively. They were divided into premenopausal group and postmenopausal group. Pathologic result were chosen as gold standard. The diagnostic accuracy of mammography and uhrasonography was compared. Results In the premenopausal group： sensitivity, specificity and accuracy rates of uhrasonography were 87.7%, 90.7% and 89.4% respectively; sensitivity, specificity and accuracy rates of mammography were 63.2% , 89.3% and 78.0% respectively. In the postmenopausal group： sensitivity, specificity and accuracy rate of uhrasonography were 90.0% , 93.4% and 91. 9% respectively; sensitivity, specificity and accuracy rate of mammography were 86. 7%, 90. 8% and 90. 0% respectively. Conclusion Uhrasonography has greater value clinically in diagnosing invasive tubular breast carcinoma. Sensitivity of mammography in premenopausal group is obviously lower than that in postmenopausal group. In premenopausal group, sensitivity and accuracy rate of uhrasonography are obviously higher than those of mammography.