彩色超声联合X线钼靶诊断早期乳腺癌的价值分析

Value of Color Ultrasound Combined with Mammography in the Diagnosis of Early Breast Cancer

目的:探讨彩色超声联合X线钼靶诊断早期乳腺癌的价值,以期为临床提供一定指导。方法:回顾性分析本院2019年1月~2020年10月经病理学确诊的早期乳腺癌患者80例临床资料,所有患者均行X线钼靶检查和彩色超声检查,以病理穿刺活检结果作为金标准,比较X线钼靶检查、彩色超声检查及两者联合检查结果的诊断准确率、漏诊率及误诊率。比较X线钼靶检查、彩色超声检查及两者联合检查的灵敏度、特异度。结果:X线钼靶检查结果的诊断准确率为86.25%,漏诊率为10.00%,误诊率为3.75%;彩色超声检查结果的诊断准确率为81.25%,漏诊率为13.75%,误诊率为5.00%;两者联合检查结果的诊断准确率96.25%,漏诊率为3.75%,未出现误诊情况,三者诊断准确率比较差异有统计学意义(P<0.05);X线钼靶与彩色超声联合检查的灵敏度(97.53%)、特异度(92.47%)及约登指数(5.917)均高于两种检查方法单独诊断结果(X线钼靶:85.08%,80.33%,0.584;彩色超声:83.17%,78.25%,0.536),差异均有统计学意义(P<0.05)。结论:彩色超声联合X线钼靶检查对早期乳腺癌的诊断准确率高。

Objective:To explore the value of color ultrasound combined with X-ray molybdenum target in the diagnosis of early breast cancer,in order to provide some guidance for clinical.Methods:Retrospective analysis was performed on the clinical data of 80 patients with early breast cancer diagnosed by pathology in our hospital from January 2019 to October 2020.All patients underwent X-ray molybdenum target examination and color ultrasound examination,and pathological biopsy results were taken as the gold standard.The accuracy rate,missed diagnosis rate and misdiagnosis rate of X-ray molybdenum target examination,color ultrasonic examination and their combined examination were compared.The sensitivity and specificity of X-ray molybdenum target examination,color ultrasonic examination and their combination were compared.Results:The accuracy rate of X-ray molybdenum target examination was 86.25%,missed diagnosis rate was 10.00%,misdiagnosis rate was 3.75%.The accuracy rate of color ultrasonography was 81.25%,missed diagnosis rate was 13.75%,misdiagnosis rate was 5.00%.The diagnostic accuracy of the combined examination results was 96.25%,the missed diagnosis rate was 3.75%,and there was no misdiagnosis.There was statistically significant difference among the three diagnostic accuracy results(P<0.05).The sensitivity(97.53%),specificity(92.47%)and Yuden index(5.917)of the combined X-ray molybdenum target and color ultrasound were higher than the diagnostic results of the two examination methods alone(X-ray molybdenum target:85.08%,80.33%,0.584;Color ultrasound:83.17%,78.25%,0.536),the differences were statistically significant(P<0.05).Conclusion:Color ultrasound combined with X-ray molybdenum target is of high diagnostic accuracy in early breast cancer.