彩超与X线钼靶筛查妇女乳腺癌临床分析

Clinical Analysis of Color Doppler Ultrasound and X-ray Mammography in Screening Female Breast Cancer

目的探究彩超与X线钼靶对妇女乳腺癌的筛查效果。方法整群选择该院2012年10月—2015年10月确诊的118例乳腺癌患者,对其采用彩超和X线钼靶进行筛查诊断,对比两者诊断结果。结果彩超诊断符合率、血流信号检出率显著高于X线钼靶诊断,差异有统计学意义(P<0.05);X线钼靶的钙化检出率高于彩超,差异有统计学意义(P<0.01)。彩超诊断病理报告符合率为93.22%(110/118),X线钼靶诊断符合率为79.66%(94/118),彩超检查的灵敏度为93.55%,特异度为97.70%,漏检率为6.45%,误诊率为2.30%。结论彩超与X线钼靶诊断乳腺癌均为有效诊断方式,且各有利弊,可根据患者具体情况选择。

Objective To discuss the effect of color Doppler ultrasound and x-ray mammography in screening female breast cancer. Methods 118 cases of patients with breast cancer diagnosed in our hospital from October 2012 to October 2015 were selected and screened and diagnosed with color Doppler ultrasound and X-ray mammography, and the diagnostic results of them were compared. Results The coincident rate and detection rate of blood flow signal of color ultrasonic diagnosis were obviously higher than those of x-ray mammography diagnosis, and the differences were obvious（P〈0.05）, the calcification detection rate of x-ray mammography was higher than that of the color Doppler ultrasound, and the difference was obvious（P〈0.01）, the coincident rate of pathological report and color ultrasonic diagnosis was 93.22%（110/118）, the coincident rate of X-ray mammography diagnosis was 79.66%（94/118）, and the sensitivity, specificity, missed detection rate and misdiagnosis rate were respectively 93.55%, 97.70%, 6.45% and 2.30%. Conclusion Both color Doppler ultrasound and xray mammography in diagnosis of breast cancer are effective diagnostic methods, and each has its advantages and disadvantages, which can be selected according to the specific conditions of patients.