彩色多普勒超声联合钼靶对乳腺癌的诊断价值

Diagnostic Value of Color Doppler Ultrasound Combined with Mamography for Breast Cancer

目的探讨彩色多普勒超声联合钼靶对乳腺癌的诊断价值。方法 108例女性乳腺癌患者中35例仅行彩色多普勒超声检查、33例仅行钼靶X线检查,39例给予联合检查。结果 108例乳腺癌患者中,59例左乳、49例右乳,均为单侧发病,平均直径(2.7±0.4)cm;病理类型:2例导管内癌、106例浸润性非特殊癌。与彩色多普勒超声、钼靶X线相比,联合检查的诊断符合率明显增高,漏诊率显著降低,P<0.05;与钼靶X线相比,彩色多普勒超声在肿块、异常血管征或血流信号、腋窝淋巴结肿大方面的诊断率均明显提高,但对微小钙化的诊断率显著降低,P<0.05。结论彩色多普勒超声与钼靶X线检查各有优势,但两者联合应用可以发挥互补作用,提高乳腺癌的临床诊断率。

Objective To study the diagnostic value of color Doppler ultrasound combined with mamography for breast cancer. Methods Among 108 cases of breast cancer,35 cases were examined by color Doppler ultrasound,33 cases were examined by X-ray mamography,and 39 cases were examined by combination application. Results In the 108 patients with breast cancer,59 cases of left breast and 49 cases of right breast were unilateral and the average diameter was（ 2. 7 ± 0. 4） cm; The subjects included 2 cases of ductal carcinoma and 106 cases of invasive non special carcinoma by the pathological type; compared with color Doppler ultrasound or X-ray mamography,the diagnostic rate of combined examination increased significantly and the missed diagnosis rate was obviously decreased in the combined examination（ P〈0. 05）; compared with X-ray mamography,the diagnostic rate of tumor,abnormal blood vessels or flow signals,axillary lymph node significantly increased and the diagnostic rate of micro calcification was obviously reduced in color Doppler ultrasound examination（ P〈0. 05）. Conclusion The color Doppler ultrasound and X-ray mamography have respective advantages and the combined examination can play complementary role in the clinical diagnosis of breast cancer.