乳腺X线摄影与超声对乳腺黏液腺癌的诊断对比

Comparison of mammography and ultrasonography in the diagnosis of mucinous breast carcinoma Gao

目的探讨乳腺X线摄影与超声对乳腺黏液腺癌的诊断价值。方法选择2013年10月至2016年7月本院收治的乳腺癌患者80例，按照随机数字法分为两组，各40例。观察组行X线乳腺摄影检查，对照组行超声检查，两组对形态及边界现象情况比较，并与病理诊断阳性率之间进行对比。结果观察组对形态显像清晰比例为92．5％，显著高于对照组的57．5％，差异有统计学意义（x^2=11．267，P〈0．05）。且对肿块边界显像清晰比例为95．0％，显著高于对照组65．0％，差异有统计学意义（x^2=9．453，P〈0．05）。观察组与病理诊断阳性率比较为92．5％，其阳性率显著高于对照组的65．0％，差异有统计学意义（x^2=7．470，P〈0．05）。结论对于X线检查提示乳腺黏液癌可能者，应注意行病理组织活检，以更好的明确诊断，及时治疗。

Objective To investigate the diagnostic value of mammography and ultrasonography in mucinous breast carcinoma. Methods 80 cases of breast cancer admitted in our hospital from October 2013 to July 2016 were randomly divided into two groups. The observation group was examined by mammography, while the control group was examined by ultrasonography. Then the morphological and boundary conditions and the positive rate in the two groups were compared. Results The proportion of clear morphological imaging of the observation group was 92.5%, which was significantly higher than 57.5% of the control group （X 2=11.267, P〈0.05）; the ratio of clear tumor border imaging of the observation group was 95.0%, which was significantly higher than 65.0% of the control group （x^2=9.453, P〈0.05）. The positive rate of the observation group was 92.5%, which was significantly higher than 65.0% of the control group （x^2=7.470, P〈0.05）. Conclusion X-ray examination may suggest mucinous breast carcinoma; we should pay attention to biopsy for better and clear diagnosis, and timely treatment.