超声萤火虫联合超微血管成像技术对比X线钼靶诊断乳腺疾病的价值

Value of micropure combined with superb microvascular imaging compared with X-ray molybdenum target for the diagnosis of breast diseases

目的探讨超声萤火虫成像联合超微血管成像检查对比X线钼靶检查技术在诊断乳腺良恶性疾病中的鉴别价值。方法选取2019年12月—2020年12月在蚌埠医学院第一附属医院治疗的女性乳腺疾病患者160例,其中良性病变为124例,恶性病变为36例。所有乳腺疾病患者均为单发病变,所有纳入的乳腺疾病患者均接受超声萤火虫成像联合超微血管成像检查及X线钼靶检查技术。以术后的病理结果为金标准,比较2种检查技术的诊断结果和在乳腺疾病中的诊断效能。结果160例乳腺疾病患者,超声萤火虫成像联合超微血管成像检查诊断检出率为97.2%,X线钼靶检查诊断检出率为77.8%,2组间差异有统计学意义(P<0.05)。超声萤火虫成像联合超微血管成像检查技术诊断特异度为95.2%(118/124)、灵敏度为97.2%(35/36)、准确度为95.6%(153/160)均高于X线钼靶检查技术[特异度78.2%(97/124)、灵敏度77.8%(28/36)、准确度78.1%(125/160)],差异有统计学意义(χ^(2)=15.415、4.571、21.487,均P<0.05)。结论超声萤火虫成像联合超微血管成像检查技术诊断乳腺疾病的效能高于X线钼靶单项检查技术,有助于提高乳腺恶性肿瘤的诊断准确率。

Objective To explore the value of micropure combined with superb microvascular imaging compared with X-ray mammography in the diagnosis of benign and malignant breast diseases.Methods A total of 160 female patients with breast diseases,who were admitted to the First Affiliated Hospital of Bengbu Medical College from December 2019 to December 2020,were selected,of which 124 were benign lesions and 36 were malignant lesions.All patients with breast diseases were single lesions,and all included patients with breast diseases received micropure combined with superb microvascular imaging examination and X-ray molybdenum target.Postoperative pathological results were used as the gold standard to compare the diagnostic efficacy of micropure combined with superb microvascular imaging and X-ray molybdenum target in breast diseases.Results Amongst the 160 patients with breast diseases,the diagnostic detection rate of micropure combined with superb microvascular imaging was 97.2%,whereas the diagnostic detection rate of X-ray molybdenum target was 77.8%,and the difference between the two groups was statistically significant(P<0.05).The diagnostic specificity of 95.2%(118/124),sensitivity of 97.2%(35/36)and accuracy of 95.6%(153/160)for micropure combined with superb microvascular imaging were higher than those for X-ray molybdenum target[specificity of 78.2%(97/124),sensitivity of 77.8%(28/36)and accuracy of 78.1%(125/160)]by 15.415(specificity),4.571(sensitivity)and 21.487(accuracy),respectively,and the difference was statistically significant(all P<0.05).Conclusion The efficacy of micropure combined with superb microvascular imaging for diagnosing breast diseases is higher than that of X-ray molybdenum target alone,which is conducive to improving the diagnostic accuracy of breast malignant tumours.