彩色多普勒超声联合钼靶X射线在乳腺癌患者保乳术前的应用评估价值

Evaluation value of color Doppler ultrasound combined with molybdenum target X-ray in breast cancer patients before breast conserving surgery

目的观察彩色多普勒超声联合钼靶X射线在乳腺癌患者保乳术前的应用评估价值。方法以自2018年8月-2019年8月于我院收治的68乳腺癌例患者为研究对象,分别采用彩色多普勒超声、钼靶X射线、彩色多普勒超声联合钼靶X射线进行检查。对比彩色多普勒超声、钼靶X射线、彩色多普勒超声联合钼靶X射线检查的病灶阳性率、检出率及病理学结果,分析上述3种方法,并分析3种方法是否可行保乳术。结果彩色多普勒超声检查出47例乳腺癌,阳性率为69.12%;钼靶X射线检查出49例乳腺癌,阳性率为72.06%;彩色多普勒超声联合钼靶X射线检查出64例乳腺癌,阳性率为94.12%,3种方法比较,差异显著(χ^(2)=15.01,P<0.001)。彩色多普勒超声联合钼靶X射线诊断乳腺癌的病灶检出率明显高于钼靶X射线及彩色多普勒超声,差异显著(P<0.05)。68例乳腺癌患者术后均经病理检测,检出34例患者存在淋巴结转移,彩色多普勒超声联合钼靶X射线淋巴结检出率高于钼靶X射线及彩色多普勒超声,但差异不显著(P>0.05)。彩色多普勒超声联合钼靶X射线、彩色多普勒超声敏感性、特异性及准确性均高于钼靶X射线,但差异不显著(P>0.05)。彩色多普勒超声联合钼靶X射线诊断乳腺癌是否可行保乳术的准确性明显高于彩色多普勒超声、钼靶X射线,差异显著(P<0.05)。结论在保乳术前对乳腺癌患者进行彩色多普勒超声联合钼靶X射线检查,可为保乳术的选择提供准确、详细的依据,可在临床广泛推广。

Objective To observe the evaluation value of color Doppler ultrasound combined with molybdenum target X-ray in breast cancer patients before breast conserving surgery.Methods A total of 68 cases of breast cancer admitted to our hospital from August 2018 to August 2019 were examined by color Doppler ultrasound,molybdenum target X-ray,and color Doppler ultrasound combined with molybdenum target X-ray.By comparing the positive rate,detection rate and pathological results of lesions detected by color Doppler ultrasound,molybdenum target X-ray,color Doppler ultrasound combined with molybdenum target X-ray,the above three methods were analyzed,and the feasibility of the three methods for breast conserving surgery was analyzed.Results 47 cases of breast cancer were detected by color Doppler ultrasonography,the positive rate was 69.12%.Mammography detected 49 cases of breast cancer,the positive rate was 72.06%.The positive rate was 94.12%(χ^(2)=15.01,P<0.001)in 64 cases of breast cancer detected by color Doppler ultrasonography combined with molybdenum target X-ray.The detection rate of breast cancer diagnosed by color Doppler ultrasound combined with molybdenum target X-ray was significantly higher than that by molybdenum target X-ray and color Doppler ultrasound(P<0.05).Pathological examination revealed lymph node metastasis in all the 68 breast cancer patients.The detection rate of lymph node metastasis by color doppler ultrasound combined with molybdenum target X-ray was higher than that by molybdenum target X-ray and color doppler ultrasound,but the difference was not significant(P>0.05).The sensitivity,specificity and accuracy of color doppler ultrasound combined with molybdenum target X-ray and color doppler ultrasound were all higher than those of molybdenum target X-ray,but the difference was not significant(P>0.05).The accuracy of color Doppler ultrasound combined with molybdenum target X-ray in the diagnosis of breast cancer was significantly higher than that of color Doppler ultrasound and molybdenum target X-ray,with significant difference(P<0.05).Conclusion Color Doppler ultrasonography combined with molybdenum target X-ray examination can provide accurate and detailed basis for the selection of breast conserving surgery,and can be widely used in clinical practice.