乳腺钼靶X射线机在乳腺癌筛查中的临床作用效果分析

Clinical Effect Analysis of Mammography in Breast Cancer Screening

目的:研究乳腺钼靶X射线机在乳腺癌筛查中的临床作用效果。方法:选取2021年3月~2023年8月本院收治的行乳腺癌筛查患者140例开展研究。对所有患者均开展腺钼靶X射线检查与病理检查。将其按照病理检查结果的差异分作乳腺癌组(n=69)及良性病变组(n=71)。对比两组各项乳腺钼靶X射线影像学表现特征,分析乳腺钼靶X射线诊断乳腺癌的效能,乳腺钼靶X射线对直径、病理类型不同乳腺癌的检出情况。结果:乳腺癌组病灶边缘不光滑、病灶分叶征、病灶毛刺征、钙化及无包膜影像学表现特征人数占比均高于良性病变组(均P<0.05)。将病理检查结果视作金标准,乳腺钼靶X射线诊断乳腺癌的灵敏度、特异度、准确度、阳性预测值及阴性预测值分别为82.61%、60.56%、71.43%、67.06%、78.18%。乳腺钼靶X射线对直径<1.0cm、1.0~1.5cm乳腺癌的检出率,明显低于病理检查结果(均P<0.05);对直径>1.5cm乳腺癌的检出率与病理检查结果对比不明显(P>0.05)。乳腺钼靶X射线对病理类型不同乳腺癌的检出率与病理检查结果对比均不明显(均P>0.05)。结论:乳腺钼靶X射线机应用于乳腺癌筛查中的效果较佳。

Objective:To study the clinical effect of mammography in breast cancer screening.Methods:140 patients with breast cancer screening admitted to the hospital from March 2021 to August 2023 were selected for the trial.Mammography and pathological examination were performed in all patients.They were divided into breast cancer group(n=69)and benign lesion group(n=71)according to the difference of pathological examination results.The imaging features of mammography were compared between the two groups,and the efficiency of mammography in the diagnosis of breast cancer and the detection of breast cancer with different diameter and pathological types were analyzed.Results:The proportion of patients with unsmooth edges,lobed signs,burrs,calcification and non-enveloped imaging features in breast cancer group were higher than those in benign lesion group(all P<0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of mammography in the diagnosis of breast cancer were 82.61%,60.56%,71.43%,67.06%and 78.18%.The detection rate of mammogram for breast cancer<1.0cm in diameter and 1.0-1.5cm in diameter was significantly lower than that of pathological examination(P<0.05).There was no significant difference between the detection rate of breast cancer with diameter>1.5cm and the pathological examination results(P>0.05).The detection rate of mammogram for different pathological types of breast cancer was not significant compared with the results of pathological examination(all P>0.05).Conclusion:The effect of mammography is better in breast cancer screening.