乳腺钼靶联合超声检查在早期乳腺癌筛查中的应用研究

The Application of Mammography Combined with Ultrasonography in Screening of Early Breast Cancer

目的分析乳腺钼靶联合超声检查在早期乳腺癌筛查中的应用。方法选择我院37例疑似乳腺癌病患为研究对象,均进行超声检查、乳腺X线钼靶检查,并以病理活检为金标准,分析其检查结果。结果(1)联合检查的敏感性和特异度均显著高于单一检查的结果(P<0.05)。(2)对于直径≤1.5 cm的病灶,联合检查的诊断准确率较单纯乳腺钼靶、超声检查明显升高(P<0.05);但对于直径>1.5 cm的病灶,三种检查方法的诊断准确率无显著性差异(P>0.05)。结论与单一检查方法相比,乳腺钼靶联合超声检查具有较高的敏感度与特异度,能够显著提高早期乳腺癌的检出率。

Objective To explore the application value of mammography combined with ultrasonography in screening for early breast cancer.Methods 37 suspected breast cancer patients were selected as the subjects.All patients were examined by ultrasonography and mammography.Pathological examination was taken as the gold standard,and the results of combined examination of two methods were analyzed.Results The sensitivity and specificity of the combined examination were significantly higher than single examination(P<0.05).For less than 1.5cm lesions,the combined examination of the diagnostic accuracy compared with mammography and ultrasonography were significantly higher(P<0.05);But for the lesions with a diameter of 1.5 cm,there was no significant difference in the diagnostic accuracy of the three methods(P>0.05).Conclusion Compared with the single method,mammography combined with ultrasonography has high sensitivity and specificity,and can significantly improve the detection rate of early breast cancer.