64排螺旋CT与乳腺X射线摄影筛查乳腺癌的价值

The Value of 64 Slice Spiral CT and Mammography in Screening Breast Cancer

目的:探讨64排螺旋CT与乳腺X射线摄影在乳腺癌筛查中的应用价值。方法:以2018年11月~2019年11月本院收治的50例疑似乳腺癌患者为研究对象,入院后分别给予64排螺旋CT检查与乳腺X射线摄影检查,将检查结果分别记为对照组和观察组,以手术病理结果为黄金诊断标准,对比两组诊断结果的灵敏度、特异度和准确度。结果:观察组诊断阳性和阴性患者分别为40例和10例,观察组诊断灵敏度、特异度和准确度对比分别为97.50%(39/40)、90.00%(9/10)和96.00%(48/50);对照组患者诊断阳性和阴性患者分别为35例和15例,对照组诊断灵敏度、特异度和准确度对比分别为75.00%(30/40)、50.00%(5/10)和70.00%(35/50),组间差异显著(P<0.05)。结论:64排螺旋CT与乳腺X射线摄影在乳腺癌筛查中均具有较高的应用价值,相对来说乳腺X射线摄影诊断效果更好。

Objective:To explore the application value of 64 slice spiral CT and mammography in breast cancer screening.Methods:50 patients with suspected breast cancer admitted to our hospital from November 2018 to November 2019 were taken as the study objects.After admission,64 slice spiral CT and mammography were given respectively,and the examination results were recorded as the control group and the study group respectively.The gold standard of diagnosis is the result of operation,and the sensitivity,specificity and accuracy of the two groups were compared.Results:There were 40 positive and 10 negative patients in the study group,and the sensitivity,specificity and accuracy were 97.50%(39/40),90.00%(9/10)and 96.00%(48/50),respectively.There were 35 positive and 15 negative patients in the control group,and the sensitivity,specificity and accuracy were 75.00%(30/40),50.00%(5/10)and 70.00%(35/50),respectively.The difference between the two groups was significant(P<0.05).Conclusion:Both 64 slice spiral CT and mammography have high application value in breast cancer screening,and in contrast mammography has better diagnostic effect.