全数字化乳腺钼靶X线摄影诊断早期乳腺癌的临床价值

Clinical value of fully digital mammography X-ray photography in the diagnosis of early breast cancer

目的探讨全数字化乳腺钼靶X线摄影诊断早期乳腺癌的临床价值。方法选取2018年4月至2020年4月本院收治的80例疑似早期乳腺癌患者作为研究对象,分别行全数字化乳腺钼靶X线摄影与超声检查,以病理检查结果为金标准,比较两种检查方式的检查结果及诊断价值。结果病理检查结果显示,80例疑似早期乳腺癌患者中,阳性65例,阴性15例。两种检查方式的特异度、误诊率、阳性预测值比较差异无统计学意义;全数字化乳腺钼靶X线摄影检查的灵敏度、诊断准确率及阴性预测值均明显高于超声检查,漏诊率明显低于超声检查,差异有统计学意义(P<0.05)。结论采用全数字化乳腺钼靶X线摄影诊断早期乳腺癌患者价值较高,灵敏度及阴性预测值均较高,可在一定程度上提高患者的诊断准确率,减少漏诊情况,值得临床推广应用。

Objective To investigate the clinical value of fully digital mammography X-ray photography in the diagnosis of early breast cancer.Methods A total of 80 patients with suspected early breast cancer who were admitted to our hospital from April 2018 to April 2020 were selected as the research subjects,and they underwent fully digital mammography X-ray photography and ultrasonography respectively,with the results of pathological examination as the gold standard,the examination results and diagnostic value of the two examination methods were compared.Results Pathological examination results showed that among the 80 patients with suspected early breast cancer,65 were positive and 15 were negative.There was no significant difference in specificity,misdiagnosis rate and positive predictive value between the two examination methods;the sensitivity,diagnostic accuracy and negative predictive value of fully digital mammography X-ray photography were significantly higher than those of ultrasonography,and the missed diagnosis rate was significantly lower than that of ultrasonography,and the difference was statistically significant(P<0.05).Conclusion The use of fully digital mammography in the diagnosis of early breast cancer patients is highly value,with high sensitivity and negative predictive value,it can improve the diagnostic accuracy and reduce missed diagnosis,which is worth clinical application.