高频彩超及X线钼靶检查对乳腺原位癌早期诊断价值的对照分析

Comparison of the value of high frequency ultrasonography and mammography in early diagnosis of breast carcinoma

目的:了解对比乳腺原位癌患者应用高频彩超和X线钼靶方式对其早期诊断的检查价值.方法:选取2010-02/2014-10我院收治的经手术证实为乳腺原位癌患者作为研究对象,所有患者均接受高频彩超和X线钼靶检查,随机抽取60例并对其临床资料进行回顾性分析.结果:所有患者接受乳腺X线钼靶检查后,有42例患者出现乳腺癌征象,占比70%;接受乳腺高频彩超检查后,有32例患者出现乳腺癌表现,占比53%,两者比较差异存在统计学意义(P<0.05);对患者肿瘤微钙化识别程度,X线钼靶检查显著高于高频彩超,差异有统计学意义(P<0.05).结论:对乳腺原位癌早期患者应用X线钼靶检查,其优越性明显高于高频彩超检查方式,在对患者检查过程中应综合考虑患者具体情况,尽量提高检出率.

AIM： To investigate the diagnostic value of high fre-quency ultrasonography and X-ray mammography in the early di- agnosis of breast carcinoma in situ. METHODS： Patients with breast carcinoma in situ confirmed by operation from February 2010 to October 2014 were selected as the object of study. All pa- tients underwent high frequency ultrasonography and mammogra-phy, and 60 patients were randomly selected. Their clinical datas were retrospectively analyzed. RESULTS： All patients received X-ray mammography examinationand, and 42 cases of patients show breast cancer signs accounting for 70%. After receiving breast high frequency ultrasonography, 32 cases of patients showed breast cancer signs, accounting for 53% of all patients and there was a statistically significant difference between the two （P 〈 0.05 ） ; In terms of identification degree of tumor microcalci- fication in patients, molybdenum target radiography was significantly better than high frequency color Doppler ultrasound, with statistically significant difference （ P 〈 0.05 ）. CONCLUSION： For patients with early breast carcinoma in situ, X-ray mammogra- phy performed greater superiority than high frequency color Doppler ultrasound examination. The concrete conditions of patients should be taken into comprehensive consideration during in- spections and try to improve the detection rate.