B超与钼靶X线摄片诊断乳腺疾病的价值比较

A comparative study on the diagnostic value of B-ultrasound and mammography in breast disorders

目的 比较B超与钼靶X线摄片诊断乳腺疾病的价值。方法 回顾性分析2012年1月至2012年12月在海南省人民医院就诊的乳腺疾病患者共194例;所有患者均于术前2周内在本院行过乳房B超及钼靶X线摄片,以术后病理结果为金标准,比较两种检查方法对乳腺疾病的诊断符合性。结果 194例患者中共有89例乳腺癌患者,年龄37～69岁,平均（47.2±3.6）岁;乳腺良性病变患者共105例,年龄17～73岁,平均（39.2±2.1）岁。B超对乳腺癌的诊断符合率达79.8%（71/89）,而钼靶X线摄片对乳腺癌的诊断符合率为49.2%（42/89）,两者比较差异有统计学意义（P〈0.05）;B超对乳腺良性疾病的诊断符合率为69.5%（72/105）,而钼靶X线摄片对乳腺良性疾病的诊断符合率达91.4%（96/105）,两者比较差异有统计学意义（P〈0.05）。结论 相较于钼靶X线摄片,B超具有准确率高、对人体无放射性伤害及价格低廉等优势,在乳腺癌的诊断中具有更大的应用价值。

Objective To compare the diagnostic value of B-ultrasound and mammography in breast dis- orders. Methods A total of 194 patients treated in People＇s Hospital of Hainan Province from Jan. 2012 to Dec. 2012 were retrospectively studied. All patients took B-ultrasound and mammography in two weeks before surgery, and then the diagnostic accuracy of two methods in breast disorders were compared using pathological outcomes as the gold diagnostic standards. Results Among the 194 patients, 89 had breast cancer, aged from 37 to 69 years old, with the median age of （47.2＋3.6） years old. There are 105 patients diagnosed as benign breast disor- ders, aged from 17 to 73 years old, with the median age of （39.2~2.1） years old. The diagnostic accuracy rate of B-ultrasound and mammography in breast cancer were 79.8% （71/89） and 49.2% （42/89）, respectively, and the dif- ference was statistically significant between the two groups （P〈0.05）. In benign breast disorders, the diagnostic ac- curacy rate of B-ultrasound [69.5% （72/105）] was lower than that of mammography [91.4% （96/105）], with statistically significant difference （P〈0.05）. Conclusion Compared to mammography, B-ultrasound has greater value in the diagnosis of breast cancer thanks to higher accuracy, non-radioactive harm to human body, and lower price.