海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
18期
2698-2699,2700
,共3页
乳腺疾病%钼靶X线%B超
乳腺疾病%鉬靶X線%B超
유선질병%목파X선%B초
Breast disorders%Mammography%B-ultrasound
目的：比较B超与钼靶X线摄片诊断乳腺疾病的价值。方法回顾性分析2012年1月至2012年12月在海南省人民医院就诊的乳腺疾病患者共194例；所有患者均于术前2周内在本院行过乳房B超及钼靶X线摄片，以术后病理结果为金标准，比较两种检查方法对乳腺疾病的诊断符合性。结果194例患者中共有89例乳腺癌患者，年龄37~69岁，平均(47.2±3.6)岁；乳腺良性病变患者共105例，年龄17~73岁，平均(39.2±2.1)岁。B超对乳腺癌的诊断符合率达79.8%(71/89)，而钼靶X线摄片对乳腺癌的诊断符合率为49.2%(42/89)，两者比较差异有统计学意义(P<0.05)；B超对乳腺良性疾病的诊断符合率为69.5%(72/105)，而钼靶X线摄片对乳腺良性疾病的诊断符合率达91.4%(96/105)，两者比较差异有统计学意义(P<0.05)。结论相较于钼靶X线摄片，B超具有准确率高、对人体无放射性伤害及价格低廉等优势，在乳腺癌的诊断中具有更大的应用价值。
目的：比較B超與鉬靶X線攝片診斷乳腺疾病的價值。方法迴顧性分析2012年1月至2012年12月在海南省人民醫院就診的乳腺疾病患者共194例；所有患者均于術前2週內在本院行過乳房B超及鉬靶X線攝片，以術後病理結果為金標準，比較兩種檢查方法對乳腺疾病的診斷符閤性。結果194例患者中共有89例乳腺癌患者，年齡37~69歲，平均(47.2±3.6)歲；乳腺良性病變患者共105例，年齡17~73歲，平均(39.2±2.1)歲。B超對乳腺癌的診斷符閤率達79.8%(71/89)，而鉬靶X線攝片對乳腺癌的診斷符閤率為49.2%(42/89)，兩者比較差異有統計學意義(P<0.05)；B超對乳腺良性疾病的診斷符閤率為69.5%(72/105)，而鉬靶X線攝片對乳腺良性疾病的診斷符閤率達91.4%(96/105)，兩者比較差異有統計學意義(P<0.05)。結論相較于鉬靶X線攝片，B超具有準確率高、對人體無放射性傷害及價格低廉等優勢，在乳腺癌的診斷中具有更大的應用價值。
목적：비교B초여목파X선섭편진단유선질병적개치。방법회고성분석2012년1월지2012년12월재해남성인민의원취진적유선질병환자공194례；소유환자균우술전2주내재본원행과유방B초급목파X선섭편，이술후병리결과위금표준，비교량충검사방법대유선질병적진단부합성。결과194례환자중공유89례유선암환자，년령37~69세，평균(47.2±3.6)세；유선량성병변환자공105례，년령17~73세，평균(39.2±2.1)세。B초대유선암적진단부합솔체79.8%(71/89)，이목파X선섭편대유선암적진단부합솔위49.2%(42/89)，량자비교차이유통계학의의(P<0.05)；B초대유선량성질병적진단부합솔위69.5%(72/105)，이목파X선섭편대유선량성질병적진단부합솔체91.4%(96/105)，량자비교차이유통계학의의(P<0.05)。결론상교우목파X선섭편，B초구유준학솔고、대인체무방사성상해급개격저렴등우세，재유선암적진단중구유경대적응용개치。
Objective To compare the diagnostic value of B-ultrasound and mammography in breast dis-orders. Methods A total of 194 patients treated in People's Hospital of Hainan Province from Jan. 2012 to Dec. 2012 were retrospectively studied. All patients took B-ultrasound and mammography in two weeks before surgery, and then the diagnostic accuracy of two methods in breast disorders were compared using pathological outcomes as the gold diagnostic standards. Results Among the 194 patients, 89 had breast cancer, aged from 37 to 69 years old, with the median age of (47.2 ± 3.6) years old. There are 105 patients diagnosed as benign breast disor-ders, aged from 17 to 73 years old, with the median age of (39.2 ± 2.1) years old. The diagnostic accuracy rate of B-ultrasound and mammography in breast cancer were 79.8%(71/89) and 49.2%(42/89), respectively, and the dif-ference was statistically significant between the two groups (P<0.05). In benign breast disorders, the diagnostic ac-curacy rate of B-ultrasound [69.5%(72/105)] was lower than that of mammography [91.4%(96/105)], with statis-tically significant difference (P<0.05). Conclusion Compared to mammography, B-ultrasound has greater value in the diagnosis of breast cancer thanks to higher accuracy, non-radioactive harm to human body, and lower price.
