CAJ | 학술논문

目的：探讨乳腺X线钼靶摄片、彩色多普勒超声对于乳腺癌诊断的临床价值及限度。方法：回顾性分析55例经手术病理证实为乳腺癌的乳腺钼靶影像报告、彩色多普勒超声结果以及临床相关资料，并按照乳腺影像学报告和数据系统（BI-RADS）分级标准进行统计分析。结果：①钼靶与病理诊断符合率为65%，彩超与病理的诊断符合率为69%，两者间无显著差异（P>0.05），两者联合应用其诊断符合率为89%。②钼靶对于微小钙化的显示优于彩超，彩超对局部血管及血流异常的显示优于钼靶。结论：乳腺钼靶X线与超声在乳腺癌的诊断中各有优势及不足，联合应用可以提高其诊断准确率。
목적：탐토유선X선목파섭편、채색다보륵초성대우유선암진단적림상개치급한도。방법：회고성분석55례경수술병리증실위유선암적유선목파영상보고、채색다보륵초성결과이급림상상관자료，병안조유선영상학보고화수거계통（BI-RADS）분급표준진행통계분석。결과：①목파여병리진단부합솔위65%，채초여병리적진단부합솔위69%，량자간무현저차이（P>0.05），량자연합응용기진단부합솔위89%。②목파대우미소개화적현시우우채초，채초대국부혈관급혈류이상적현시우우목파。결론：유선목파X선여초성재유선암적진단중각유우세급불족，연합응용가이제고기진단준학솔。
Objective:To investigate the clinical value and limitation of Molybdenum Target Mammography (breast X-ray radiography) and Color Doppler ultrasound in the diagnosis of breast cancer. Methods:Breast cancer data from 55 patients was collected in our hospital from october 2009 to December 2012. The mammography report and color Doppler ultrasound result of these cases, which were confirmed by surgery and pathological analysis for breast cancer, were analyzed retrospectively. Statistical analysis was done according to the breast Imaging and reporting System (BI-RADS) classification standard. Results: ①The coincidence rate between Molybdenum Target Mammography and pathological diagnosis is 65%;the rate between ultrasonography and pathological diagnosis is 69%. There is no signif-icant difference(P>0.05) between the above rates. The diagnostic rate with two joint applications is 89%.②The dis-play of Microcalcification by Molybdenum Target Mammography is better than Color Doppler Ultrasound; but Color Doppler Ultrasound is better than Molybdenum Target Mammography in detection of the abnormalities of local blood vessels and blood flow. Conclusion:Our results show that Molybdenum Target Mammography and Color Doppler Ul-trasound have their own strengths and weaknesses in the diagnosis of breast cancer. The combination of two diagnostic methods can significantly improve the diagnostic accuracy of breast cancer.