中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
29期
14-16
,共3页
刘国荣%程传虎%李坚%陈超%杨清绪%李丽红%林翠君
劉國榮%程傳虎%李堅%陳超%楊清緒%李麗紅%林翠君
류국영%정전호%리견%진초%양청서%리려홍%림취군
乳腺肿瘤%乳房X线摄影术%超声检查%多普勒%彩色%诊断
乳腺腫瘤%乳房X線攝影術%超聲檢查%多普勒%綵色%診斷
유선종류%유방X선섭영술%초성검사%다보륵%채색%진단
Breast neoplasms%Mammography%Ultrasonography,Doppler,color%Diagnosis
目的 探讨全数字化乳腺X线摄影联合彩色多普勒超声(彩超)检查对微小乳腺癌的诊断价值.方法 66例直径≤1.5 cm的微小乳腺癌患者(恶性组)和20例直径≤1.5 cm的乳腺良性病变患者(良性组)均行全数字化乳腺X线摄影和彩超检查,进行定性诊断,最后与手术病理结果对照.结果 恶性组:全数字化乳腺X线摄影诊断微小乳腺癌55例,其敏感度和特异度分别为83.3%(55,66)、90.0%(18/20),准确度为84.9%(73,86);彩超诊断微小乳腺癌52例,其敏感度和特异度分别为78.8%(52/66)、75.0%(15/20),准确度为77.9%(67/86);二者联合诊断微小乳腺癌65例,其敏感度和特异度分别为98.5%(65/66)、100.0%(20/20),准确度为98.8%(85/86).与单一检查比较差异有统计学意义(P＜0.05).恶性组收缩期峰值流速及血流阻力指数均高于良性组,差异有统计学意义(P＜0.05).结论 对微小乳腺癌定性诊断方面,全数字化乳腺X线摄影为首选,彩超对良恶性结节鉴别诊断有一定帮助,二者联合应用可提高微小乳腺癌的检出率和准确度.
目的 探討全數字化乳腺X線攝影聯閤綵色多普勒超聲(綵超)檢查對微小乳腺癌的診斷價值.方法 66例直徑≤1.5 cm的微小乳腺癌患者(噁性組)和20例直徑≤1.5 cm的乳腺良性病變患者(良性組)均行全數字化乳腺X線攝影和綵超檢查,進行定性診斷,最後與手術病理結果對照.結果 噁性組:全數字化乳腺X線攝影診斷微小乳腺癌55例,其敏感度和特異度分彆為83.3%(55,66)、90.0%(18/20),準確度為84.9%(73,86);綵超診斷微小乳腺癌52例,其敏感度和特異度分彆為78.8%(52/66)、75.0%(15/20),準確度為77.9%(67/86);二者聯閤診斷微小乳腺癌65例,其敏感度和特異度分彆為98.5%(65/66)、100.0%(20/20),準確度為98.8%(85/86).與單一檢查比較差異有統計學意義(P＜0.05).噁性組收縮期峰值流速及血流阻力指數均高于良性組,差異有統計學意義(P＜0.05).結論 對微小乳腺癌定性診斷方麵,全數字化乳腺X線攝影為首選,綵超對良噁性結節鑒彆診斷有一定幫助,二者聯閤應用可提高微小乳腺癌的檢齣率和準確度.
목적 탐토전수자화유선X선섭영연합채색다보륵초성(채초)검사대미소유선암적진단개치.방법 66례직경≤1.5 cm적미소유선암환자(악성조)화20례직경≤1.5 cm적유선량성병변환자(량성조)균행전수자화유선X선섭영화채초검사,진행정성진단,최후여수술병리결과대조.결과 악성조:전수자화유선X선섭영진단미소유선암55례,기민감도화특이도분별위83.3%(55,66)、90.0%(18/20),준학도위84.9%(73,86);채초진단미소유선암52례,기민감도화특이도분별위78.8%(52/66)、75.0%(15/20),준학도위77.9%(67/86);이자연합진단미소유선암65례,기민감도화특이도분별위98.5%(65/66)、100.0%(20/20),준학도위98.8%(85/86).여단일검사비교차이유통계학의의(P＜0.05).악성조수축기봉치류속급혈류조력지수균고우량성조,차이유통계학의의(P＜0.05).결론 대미소유선암정성진단방면,전수자화유선X선섭영위수선,채초대량악성결절감별진단유일정방조,이자연합응용가제고미소유선암적검출솔화준학도.
Objective To evaluate the efficacy of color Doppler sonography combined with digital mammography for micro breast cancer screening.Methods Both of color Doppler sonography and digital mammography were performed in 66 patients with micro breast cancer less than 1.5 cm in diameter and 20 patients with benign lesion less than 1.5 cm in diameter.The images of sonography and mammography were analyzed respectively.A comparative study on the results of sonography,mammography and pathological finding of specimen in breast lesions was made.Results Fifty-five of 66 Cases with micro breast cancer were detected by digital mammography.52 of 66 cases by color Doppler sonography and 65 of 66 cases by sonography combined with mammography.The color Doppler sonography combined with digital mammography provided higher sensitivity,specificity and accuracy[98.5%(65/66),100.0%(20/20)and 98.8%(85/86)respectively]than color Doppler sonography[78.8%(52/66),75.0%(15/20),77.9% (67/86)respectively]and digital mammography alone[83.3%(55/66),90.0%(18/20)and 84.9%(73/86)respectively](P＜0.05).The peak flow velocities and the mean resistant index were higher in malignant lesion than those in benign lesion(P＜0.05).Conclusions The color Doppler sonography combined with digital mammography can increase the sensitivity and accuracy of diagnosing micro breast cancer.Digital mammography is recommended to identify micro breast cancer.It is helpful of color Doppler sonography in differentiation of benign and malignant breast lesion.
