核磁共振成像、彩色超声及X线钼靶对乳腺癌的诊断价值
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摘要
目的对比核磁共振成像(MRI)、彩色超声及X线钼靶对乳腺癌的诊断价值。方法选取经病理检测确诊的乳腺癌患者76例和乳腺良性病变患者91例作为研究对象,所有患者均经MRI、彩色超声、X线钼靶检查,比较各种检查方法对乳腺癌诊断的准确性、敏感性和特异性。结果 91例乳腺良性病变患者中,MRI诊断出75例,X线钼靶诊断出65例,彩色超声诊断出71例;76例乳腺癌患者中,MRI诊断出70例,X线钼靶诊断出68例,彩色超声诊断出66例;MRI诊断乳腺癌的准确性、敏感性及特异性最高,但与其他2种检测方法诊断乳腺癌的准确性、敏感性及特异性比较,差异无统计学意义(χ~2=3.144,P=0.208;χ~2=2.060,P=0.357;χ~2=1.141,P=0.565)。结论 MRI在乳腺癌的诊断中具有较高的准确性、敏感性及特异性,值得推广。
ObjectiveTo compare the diagnostic value of magnetic resonance imaging(MRI),color ultrasonography and X-ray molybdenum target in breast cancer.Methods 76 cases of patients with breast cancer and 91 cases of patients with breast benign lesions were confirmed by pathological examination as the research objects,all patients were examined by MRI,color ultrasonography,X-ray molybdenum target,the accuracy,sensitivity and specificity of various diagnostic methods for breast cancer were compared.Results In 91 cases of patients breast with benign lesions,MRI diagnosed 75 cases,X-ray mammography diagnosed 65 cases,color ultrasonography diagnosed 71 cases;in 76 cases of breast cancer patients,MRI diagnosed 70 cases,X-ray mammography diagnosed 68 cases,color ultrasonography diagnosed 66 cases;the accuracy,sensitivity and specificity of MRI in the diagnosis of breast cancer were the highest,but there was no significant difference between the other 2 methods in the diagnosis of breast cancer(χ~2=3.144,P=0.208;χ~2=2.060,P=0.357;χ~2=1.141,P=0.565).Conclusion MRI has highest accuracy,sensitivity and specificity in the diagnosis of breast cancer,it is worth popularizing.
ObjectiveTo compare the diagnostic value of magnetic resonance imaging(MRI),color ultrasonography and X-ray molybdenum target in breast cancer.Methods 76 cases of patients with breast cancer and 91 cases of patients with breast benign lesions were confirmed by pathological examination as the research objects,all patients were examined by MRI,color ultrasonography,X-ray molybdenum target,the accuracy,sensitivity and specificity of various diagnostic methods for breast cancer were compared.Results In 91 cases of patients breast with benign lesions,MRI diagnosed 75 cases,X-ray mammography diagnosed 65 cases,color ultrasonography diagnosed 71 cases;in 76 cases of breast cancer patients,MRI diagnosed 70 cases,X-ray mammography diagnosed 68 cases,color ultrasonography diagnosed 66 cases;the accuracy,sensitivity and specificity of MRI in the diagnosis of breast cancer were the highest,but there was no significant difference between the other 2 methods in the diagnosis of breast cancer(χ~2=3.144,P=0.208;χ~2=2.060,P=0.357;χ~2=1.141,P=0.565).Conclusion MRI has highest accuracy,sensitivity and specificity in the diagnosis of breast cancer,it is worth popularizing.
引文
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[10]朱晓彤.钼靶X线、彩色多普勒超声、超声弹性成像应用于乳腺病变诊断中的临床价值比较[J].卫生职业教育,2017,35(6):135-137.
[11]陈潇,叶大才,关海天,等.彩色多普勒超声评估乳腺癌新辅助化疗疗效的应用价值[J].实用癌症杂志,2016,31(9):1459-1461.
[12]杨雪梅,魏丽美,黄敬垣,等.非哺乳期乳腺炎乳腺癌的超声彩色多普勒及弹性成像诊断分析[J].浙江临床医学,2017,19(2):321-323.
[13]王娜.超声弹性成像与彩色多普勒超声在乳腺占位性病变鉴别诊断中的应用价值[J].中国妇幼保健,2016,31(3):642-643.
[2]王娇,杜丽洁,李健丁.乳腺癌影像诊断的现状与进展[J].中华临床医师杂志(电子版),2016,10(4):579-583.
[3]吴楚成,彭伟强,黄宇康,等.彩超、钼靶X线与磁共振成像在乳腺癌诊断中的应用价值[J].中国现代药物应用,2015,9(14):50-51.
[4]韦伟.核磁共振成像和超声对乳腺恶性病变诊断的对比研究[J].中华危重症医学杂志(电子版),2016,9(2):122-124.
[5]赵欣,苏丹柯,王琛,等.乳腺MRI征象的权重对肿块型乳腺病变诊断价值研究[J].实用放射学杂志,2016,32(9):1367-1370.
[6]张广凤,李琳,王凯,等.磁共振成像对乳腺肿瘤的诊断价值[J].现代生物医学进展,2015,15(5):954-956.
[7]刘勇.乳腺钼靶X线摄影在乳腺疾病患者诊断中的作用分析[J].中国民康医学,2016,28(18):40-42.
[8]庞宗兴.B超、钼靶、MRI及肿瘤标志物联合应用对乳腺肿物的诊断价值[D].南宁:广西医科大学,2016.
[9]兰勇军,毕力克孜,陈琼.钼靶X线片与MRI在诊断乳腺疾病上的对比观察[J].中国卫生标准管理,2015,1(20):171-172.
[10]朱晓彤.钼靶X线、彩色多普勒超声、超声弹性成像应用于乳腺病变诊断中的临床价值比较[J].卫生职业教育,2017,35(6):135-137.
[11]陈潇,叶大才,关海天,等.彩色多普勒超声评估乳腺癌新辅助化疗疗效的应用价值[J].实用癌症杂志,2016,31(9):1459-1461.
[12]杨雪梅,魏丽美,黄敬垣,等.非哺乳期乳腺炎乳腺癌的超声彩色多普勒及弹性成像诊断分析[J].浙江临床医学,2017,19(2):321-323.
[13]王娜.超声弹性成像与彩色多普勒超声在乳腺占位性病变鉴别诊断中的应用价值[J].中国妇幼保健,2016,31(3):642-643.
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