超声弹性成像及钼靶X线诊断乳腺疾病价值对比研究

Comparative study of elastosonography and molybdenum X-ray photography in the diagnosis of breast diseases

目的探讨超声弹性成像及钼靶X线诊断乳腺疾病的价值。方法 2009年3月至2010年8月,山东省滨州市邹平计划生育妇幼保健服务中心对65例女性病人共72个病灶术前行超声弹性成像及钼靶X线检查,以手术病理为诊断标准,对比分析两者诊断乳腺疾病的准确性。结果病理诊断良性53个病灶,恶性19个病灶。超声弹性成像诊断乳腺恶性病变的灵敏度、特异度和约登指数分别为84.2%、96.2%、0.804。钼靶X线诊断乳腺恶性病变的灵敏度、特异度和约登指数分别为68.4%、92.4%、0.608。结论超声弹性成像诊断乳腺病变的准确性高于钼靶X线,两者结合可提高乳腺恶性病变诊断的准确性。

Objective To investigate the value of elastosonography and molybdenum X-ray photography in the diagnosis of breast diseases. Methods From March 2009 to August 2010, 65 female patients with 72 lesions in breast were examined with elastosonography and molybdenum X-ray photography in Zouping Family Planning Maternal and Child Health Service of Binzhou City of Shandong Province.Pathology was used as the golden diagnosing criterion. The accuracy of elastosonography and molybdenum X-ray photography for diagnosing breast diseases was compared. Results Pathological examination showed 53 nodules were benign and 19 nodules were malignant.The sensitivity, specificity and Youden index of elastosonography were 84.2%,96.2% and 0.804 respectively.Those of molybdenum X-ray photography were 68.4%,92.4% and 0.608 respectively. Conclusion The accuracy of elastosonography is much higher than that of molybdenum X-ray photography.The comb/native use of elastosonography and molybdenum X-ray photography can elevate the accuracy for differentiating the benign from malignant breast tumours.