妇女乳腺良恶性疾病587例的钼靶普查结果分析

Analysis of Census Results of Mammography for 587 Cases of Women with Benign and Malignant Breast Disease

目的探讨钼靶检查在乳腺良恶性疾病普查中的诊断准确率。方法 2010年至2012年对某地区进行乳腺癌筛查共587例,有临床表现、物理检查发现阳性体征,超声检查有征象的患者126例。针对126例患者做了进一步钼靶检查,同时与病理检查结果比较,分析钼靶与病理诊断符合情况、钼靶诊断的敏感性与特异性、乳腺良恶性疾病的钼靶检查影像学差异。结果 126例乳腺病变患者经病理检查确诊为良性89例,恶性37例。与病理检查结果比较,钼靶检查的准确率为92.1%,敏感性为86.5%,特异性为94.4%;良、恶性病变除局部是否致密及有无结构紊乱无统计学差异(P>0.05)外,其他钼靶X线征象差异均有统计学意义(P<0.01)。结论乳腺钼靶X线摄影对鉴别乳腺良恶性疾病有重要的临床价值,值得推广。

Objective To explore the diagnostic accuracy rate of molybdenum target in benign and malignant breast disease census.Methods 587 cases of breast cancer census was performed,126 cases of patients had clinical manifestation,positive physical signs,and ultrasound findings.126 cases received molybdenum target inspection,the results were compared with pathologic examination results,conformance of mammography with the pathological diagnosis,sensitivity and specificity of mammography,and molybdenum target inspection imaging differences of breast benign and malignant diseases were analyzed.Results 126 patients with breast lesions were confirmed by pathological examination to be 89 cases was benign and 37 cases was malignant.Compared with the pathological examination,the molybdenum target inspection accuracy was 92.1%,sensitivity was 86.5%,specificity was 94.4%; Local density and whether have structure disorder had no statistical differences(P > 0.05) between benign and malignant lesions,molybdenum target X-ray signs had statistical differences(P < 0.01).Conclusion Mammary gland molybdenum target X-ray photography has important clinical value in differentiating benign and malignant breast disease,and it is worthy of promotion.