CAJ | 학술논문

目的对乳腺癌的影像学特征进行观察与分析，为今后的临床治疗工作提供可靠的参考依据。方法抽取在2010年1月至2012年12月间我院与肇庆市第二人民医院收治的可疑早期乳腺癌临床患者病例90例，对其在术前分别展开钼靶、超声、钼靶与超声联合以及MRI 检查，并将上述四种检查方法的检查结果同病理结果进行比较，而后对比分析各种检查方法的准确性、特异性、敏感性、阴性预测值、阳性预测值、假阳性率以及假阴性率。结果经统计，钼靶与超声联合检查和 MRI 检查结果的准确性、特异性、敏感性、阴性预测值、阳性预测值均较钼靶、超声单独应用明显提高（P ＜0.05），且假阳性率和假阴性率均得到了显著降低（P ＜0.05）；而钼靶超声联合检查结果与 MRI 检查结果差异无显著统计学意义（P ＞0.05）。结论对于乳腺癌早期临床诊断而言，钼靶与超声联合的检查方法和 MRI 检查能够使诊断的准确性得到显著提高，为临床治疗方案的选择提供可靠的参考依据，值得推广应用。
목적대유선암적영상학특정진행관찰여분석，위금후적림상치료공작제공가고적삼고의거。방법추취재2010년1월지2012년12월간아원여조경시제이인민의원수치적가의조기유선암림상환자병례90례，대기재술전분별전개목파、초성、목파여초성연합이급MRI 검사，병장상술사충검사방법적검사결과동병리결과진행비교，이후대비분석각충검사방법적준학성、특이성、민감성、음성예측치、양성예측치、가양성솔이급가음성솔。결과경통계，목파여초성연합검사화 MRI 검사결과적준학성、특이성、민감성、음성예측치、양성예측치균교목파、초성단독응용명현제고（P ＜0.05），차가양성솔화가음성솔균득도료현저강저（P ＜0.05）；이목파초성연합검사결과여 MRI 검사결과차이무현저통계학의의（P ＞0.05）。결론대우유선암조기림상진단이언，목파여초성연합적검사방법화 MRI 검사능구사진단적준학성득도현저제고，위림상치료방안적선택제공가고적삼고의거，치득추엄응용。
Objective To breast cancer imaging features were observed and analyzed, and provide a reliable basis for clinical treatment in future. Methods In the second people's hospital from 2010 January to 2012 December in our hospital and Zhaoqing city suspicious early breast cancer patients with clinical cases in 90 cases, the respectively, ultrasound, molybdenum target mammography combined with ultrasonic and MRI examination before operation, and the four methods of inspection findings and pathological results were comparison and contrast analysis, the accuracy of different examination methods, the specificity, sensitivity, negative predictive value, positive predictive value, false positive rate and false negative rate. Results The statistical results, mammography and ultrasound examination and MRI examination results of accuracy, specificity, sensitivity, negative predictive value, positive predictive value than mammography, ultrasound alone significantly increased (P<0.05), and the false positive rate and false negative rate were significantly decreased (P<0.05); and the difference of molybdenum targeted ultrasound examination results and the results of MRI were not statistically significant (P>0.05). Conclusion In breast cancer early diagnosis, mammography and ultrasound examination and MRI examination can make the diagnosis accuracy is greatly improved, provide a reliable basis for the clinical treatment options, it is worthy of popularization and application.