全数字化乳腺钼靶X线用于乳腺癌的早期诊断价值

Assessment of the Diagnostic Value of Full-field Digital Mammography in Early Breast Cancer Detection

目的:分析在乳腺癌早期诊断中,应用全数字化乳腺钼靶X线检查的诊断价值。方法:选取2023年1月至2024年1月于福建医科大学附属三明市第一医院接受检查的疑似乳腺癌患者80例,均应用彩色多普勒超声检查、全数字化乳腺钼靶X线检查,将结果与最终临床确诊结果比较,计算并比较两种检查方法的诊断效能。结果:80例疑似乳腺癌患者中,临床确诊62例;全数字化乳腺钼靶X线对早期乳腺癌的检查灵敏度、特异度及准确度均高于彩色多普勒超声,差异具有统计学意义(P<0.05)。全数字化乳腺钼靶X线对原位癌、黏液腺癌、浸润性导管癌、单纯性乳腺癌的检出数与临床确诊结果的差异均无统计学意义(P>0.05)。结论:在早期乳腺癌诊断中,应用全数字化乳腺钼靶X线检查的诊断效能较高,可为患者后续病情诊断及治疗方案的规划提供可靠参考。

Objective To analyze the diagnostic value of full-field digital mammography in the early detection of breast cancer.Methods A total of 80 patients with suspected breast cancer who underwent examinations at the Sanming First Hospital Affiliated to Fujian Medical University,from January 2023 to January 2024 were selected.All patients underwent color Doppler ultrasound and full-field digital mammography.The results were compared with the final clinical diagnosis to calculate and compare the diagnostic efficacy of the two methods.Results Among the 80 patients with suspected breast cancer,62 were clinically confirmed.The sensitivity,specificity,and accuracy of full-field digital mammography for early breast cancer detection were higher than those of color Doppler ultrasound,and the differences were statistically significant(P<0.05).There were no statistically significant differences between the detection numbers of full-field digital mammography for in situ carcinoma,mucinous adenocarcinoma,invasive ductal carcinoma,and simple breast cancer,and the clinical diagnosis results(P>0.05).Conclusion Full-field digital mammography demonstrates high diagnostic efficacy in the early detection of breast cancer,providing reliable references for subsequent patient condition diagnosis and treatment planning.