超声联合钼靶X线诊断乳腺肿块价值

Value of ultrasonography plus molybdenum target X-ray to the diagnosis of breast tumors

目的探讨超声联合钼靶X线在乳腺肿块诊断中的应用价值。方法乳腺肿块患者94例中恶性肿瘤56例,良性肿瘤38例,均行超声、钼靶X线检查,与手术组织病理结果进行对照,分析超声、钼靶X线单独及联合诊断乳腺肿块的价值。结果超声、钼靶X线及二者联合诊断乳腺肿块的准确性分别为69.15%、71.28%、91.49%,敏感性分别为80.36%、82.14%、94.64%,特异性分别为52.63%、55.26%、86.84%,超声联合钼靶X线诊断乳腺肿块的准确性、敏感性、特异性高于超声或钼靶X线单独检查(P<0.05);二者联合诊断的AUC大于超声或钼靶X线单独检查(P<0.05)。结论超声与钼靶X线联合检查可提高乳腺体肿块诊断的准确性。

Objective To investigate the clinical value of ultrasonography plus molybdenum target X-ray to the diagnosis of breast tumors. Methods Ninety-four patients with breast tumors including 56 patients with malignant tumor and 38 patients with benign tumor, underwent ultrasonography and/or molybdenum target X ray, and compared with the histopathoiogical results to analyze the values of ultrasonography, molybdenum target X-ray, and ultrasonography plus molybdenum target X-ray to the diagnosis of breast cancer. Results The diagnosis accuracies of ultrasonograpby, molybdenum target X-ray and ultrasonography plus molybdenum target X ray were 69.15%, 71. 28%and 91.49%. The sensitivities were 80.36%, 82.14% and 94.64%. The specificities were 52. 63%, 55.26% and 86.84%. The accuracy, sensitivity and specificity of ultrasonography plus molybdenum target X-ray were significantly higher than those of either ultrasonography or molybdenum target X-ray （P〈0.05）. The AUC of ultrasonography plus molybdenum target X-ray was larger than that of either ultrasonography or molybdenum target X-ray （P〈0.05）. Conglusions Combined detection of ultrasonography and molybdenum target X-ray can improve the diagnosis accuracy for breast tumors.