灰阶超声与X线诊断乳腺良性病变的比较分析

Diagnosis of Breast Benign Diseases:Comparative Study of Gray Scale Sonography and Mammography

本文分析了65例经手术病理证实的乳腺良性病变的灰阶超声及X 线表现,并对比后两者诊断结果。65例中X 线诊断正确29例,正确率44%;超声诊断正确40例,正确率61%。9例致密型乳腺X 线片未见肿块,经B 超检查均诊断正确。因此我们认为,年青患者或X 线显示致密型乳腺者,利用超声检查很有帮助,尤其在鉴别囊、实性和实性肿块方面准确率高;而中老年患者可先行X 线检查,如诊断明确者,可不必再行B 超检查。

Gray scale ultrasonic and radiographic manifestations of 65 cases of breast benign diseases were studied.Based on breast benign diseases were diagnosed correctly as compared with 44% accuracy for mammography and 61% for sonography.In 9 cases with dense breast,no mass was detectable on mammography,where in all of them correct diagnosis were made by sonography.Therefore sonography was considered useful in young patients;in patients with dense breast;and to differentiate cystic from solid masses.Breast sonography yielded no additional benefits in atrophic and fatty breasts in elder patients studied by mammography.