钼靶X线与彩超在诊断乳腺癌合并细微钙化中的临床价值
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摘要
目的分析钼靶X线与彩超诊断乳腺癌合并细微钙化的价值,以此来为乳腺癌的临床治疗提供科学合理的依据。方法 2013年5月—2017年6月,于我院诊治的乳腺癌合并细微钙化患者中选取120例,对其影像学资料进行回顾性分析,分别对患者进行钼靶X线与彩超诊断,对两种诊断方式的影像学特点与准确性进行对比分析。结果钼靶X线的乳腺癌合并细微钙化检出率为65%,相较于彩超的35%更高,P<0.05。结论乳腺癌合并细微钙化诊断中,钼靶X线的诊断准确率相较于彩超更高,但可将彩超作为一种辅助诊断方式。
Objective To analyze the value of molybdenum target X-ray and color ultrasound in the diagnosis of breast cancer combined with subtle calcification, so as to provide a scientific and rational basis for the clinical treatment of breast cancer. Methods From May 2013 to June 2017, 120 patients were confirmed by operation and pathology, and their imaging data were analyzed retrospectively. The patients were diagnosed by molybdenum target X-ray and color Doppler ultrasound respectively. The imaging features and accuracy of the two diagnostic methods were compared and analyzed. Results The detection rate of breast cancer with slight calcification in mammography was 65%, which was higher than that of color Doppler ultrasound(35%)(P < 0.05). Conclusion In the diagnosis of breast cancer with minute calcification, the diagnostic accuracy of mammography is higher than that of color ultrasound, but color ultrasound can be used as an auxiliary diagnostic method.
Objective To analyze the value of molybdenum target X-ray and color ultrasound in the diagnosis of breast cancer combined with subtle calcification, so as to provide a scientific and rational basis for the clinical treatment of breast cancer. Methods From May 2013 to June 2017, 120 patients were confirmed by operation and pathology, and their imaging data were analyzed retrospectively. The patients were diagnosed by molybdenum target X-ray and color Doppler ultrasound respectively. The imaging features and accuracy of the two diagnostic methods were compared and analyzed. Results The detection rate of breast cancer with slight calcification in mammography was 65%, which was higher than that of color Doppler ultrasound(35%)(P < 0.05). Conclusion In the diagnosis of breast cancer with minute calcification, the diagnostic accuracy of mammography is higher than that of color ultrasound, but color ultrasound can be used as an auxiliary diagnostic method.
引文
[1]罗翠娟,陈雪玲,吴泽珊.彩色B超及钼靶X线在乳腺癌诊断中的应用[J].黑龙江医学,2016,40(2):158-159.
[2]张德才,张景华,胡万宁,等.钼靶X线导丝定位联合彩超引导穿刺活检对乳腺微小钙化的临床意义[J].中华医学杂志,2014,29(32):2519-2521.
[3]李继光,孙业全,张丰明,等.声弹性成像、常规超声、钼靶X线技术在乳腺癌诊断中的应用[J].中华医学超声杂志:电子版,2014,11(10):845-850.
[4]杨雷,袁卫红,王家平,等.99Tcm-MIBI显像与钼靶X线对乳腺癌诊断的比较研究[J].国际放射医学核医学杂志,2016,40(2):111-114.
[5]汤雪雪,詹伟雄,曾秀丽.全数字化乳腺钼靶X线摄影诊断早期乳腺癌的价值[J].临床合理用药杂志,2016,9(28):115-116.
[6]叶美婷,王献增,王森法.动态增强MRI与钼靶X线对乳腺癌的诊断价值比较[J].中国乡村医药,2016,23(12):76-77.
[7]柏树玲.超声与钼靶X线对小乳腺癌的诊断价值研究[J].齐齐哈尔医学院学报,2017,38(2):187-188.
[8]李旭敏,薛红芳,李卉.钼靶X线、超声及MRI在乳腺癌诊断中的协同应用[J].中国医疗设备,2016,31(4):67-69.
[9]卢丽萍,李荆,钟创锋,等.多种超声技术与X线钼靶联合诊断乳腺癌的应用价值[J].临床超声医学杂志,2016,18(4):237-239.
[10]仝淑丽,高晶磊,刘娜.钼靶X线联合螺旋CT在乳腺癌早期诊断中的临床价值[J].河北医科大学学报,2016,37(7):854-857.
[11]肖刚,宋尚梅,李志民,等.数字化钼靶X线摄影对早期乳腺癌的诊断价值分析[J].现代医用影像学,2016,25(2):313-315.
[12]张琳,聂惠龙.X线钼靶和高频超声在早期乳腺癌中的诊断价值[J].中国妇幼保健,2016,31(5):1077-1078.
[13]王宏雁,宋永茂,谢沛沛,等.乳腺血氧功能影像检查仪联合钼靶X线检查在乳腺癌筛查中的作用[J].预防医学,2016,28(7):654-657.
[14]吴昊,韩旭,徐东风.钼靶联合超声检查对乳腺癌的诊断价值探讨[J].浙江临床医学,2016,18(5):948-949.
[15]朱玉胜,徐桂影,陶莉.彩色多普勒超声联合钼靶对乳腺癌的诊断价值[J].实用癌症杂志,2016,31(7):1095-1097.
[16]洪凤鸣.乳腺癌应用全数字化乳腺钼靶X线摄影诊断的研究进展[J].临床医学研究与实践,2016,1(15):127-128.
[17]曹文,张尹.MRI增强扫描和X线钼靶应用于早期乳腺癌诊断价值对比研究[J].四川医学,2016,37(6):674-677.
[18]李瑞青,杜稼苓,孙鹤庆,等.钼靶X线假阴性乳腺癌患者临床病理学特点的回顾性分析[J].中国现代医学杂志,2016,26(17):94-97.
[19]杨洁,胡涛平,黄金梅,等.彩色超声联合X线钼靶摄影在乳腺癌诊断中的价值[J].实用癌症杂志,2016,31(6):962-965.
[20]嵇雪芹.乳腺X线摄影与超声诊断0期及Ⅰ期乳腺癌的临床研究[J].中国继续医学教育,2017,9(21):58-59.
[21]姜专基,刘鸿雁,魏世鸿,等.超声、钼靶X线及其联合应用诊断乳腺癌准确性的Meta分析[J].甘肃医药,2016,35(10):731-737.
[2]张德才,张景华,胡万宁,等.钼靶X线导丝定位联合彩超引导穿刺活检对乳腺微小钙化的临床意义[J].中华医学杂志,2014,29(32):2519-2521.
[3]李继光,孙业全,张丰明,等.声弹性成像、常规超声、钼靶X线技术在乳腺癌诊断中的应用[J].中华医学超声杂志:电子版,2014,11(10):845-850.
[4]杨雷,袁卫红,王家平,等.99Tcm-MIBI显像与钼靶X线对乳腺癌诊断的比较研究[J].国际放射医学核医学杂志,2016,40(2):111-114.
[5]汤雪雪,詹伟雄,曾秀丽.全数字化乳腺钼靶X线摄影诊断早期乳腺癌的价值[J].临床合理用药杂志,2016,9(28):115-116.
[6]叶美婷,王献增,王森法.动态增强MRI与钼靶X线对乳腺癌的诊断价值比较[J].中国乡村医药,2016,23(12):76-77.
[7]柏树玲.超声与钼靶X线对小乳腺癌的诊断价值研究[J].齐齐哈尔医学院学报,2017,38(2):187-188.
[8]李旭敏,薛红芳,李卉.钼靶X线、超声及MRI在乳腺癌诊断中的协同应用[J].中国医疗设备,2016,31(4):67-69.
[9]卢丽萍,李荆,钟创锋,等.多种超声技术与X线钼靶联合诊断乳腺癌的应用价值[J].临床超声医学杂志,2016,18(4):237-239.
[10]仝淑丽,高晶磊,刘娜.钼靶X线联合螺旋CT在乳腺癌早期诊断中的临床价值[J].河北医科大学学报,2016,37(7):854-857.
[11]肖刚,宋尚梅,李志民,等.数字化钼靶X线摄影对早期乳腺癌的诊断价值分析[J].现代医用影像学,2016,25(2):313-315.
[12]张琳,聂惠龙.X线钼靶和高频超声在早期乳腺癌中的诊断价值[J].中国妇幼保健,2016,31(5):1077-1078.
[13]王宏雁,宋永茂,谢沛沛,等.乳腺血氧功能影像检查仪联合钼靶X线检查在乳腺癌筛查中的作用[J].预防医学,2016,28(7):654-657.
[14]吴昊,韩旭,徐东风.钼靶联合超声检查对乳腺癌的诊断价值探讨[J].浙江临床医学,2016,18(5):948-949.
[15]朱玉胜,徐桂影,陶莉.彩色多普勒超声联合钼靶对乳腺癌的诊断价值[J].实用癌症杂志,2016,31(7):1095-1097.
[16]洪凤鸣.乳腺癌应用全数字化乳腺钼靶X线摄影诊断的研究进展[J].临床医学研究与实践,2016,1(15):127-128.
[17]曹文,张尹.MRI增强扫描和X线钼靶应用于早期乳腺癌诊断价值对比研究[J].四川医学,2016,37(6):674-677.
[18]李瑞青,杜稼苓,孙鹤庆,等.钼靶X线假阴性乳腺癌患者临床病理学特点的回顾性分析[J].中国现代医学杂志,2016,26(17):94-97.
[19]杨洁,胡涛平,黄金梅,等.彩色超声联合X线钼靶摄影在乳腺癌诊断中的价值[J].实用癌症杂志,2016,31(6):962-965.
[20]嵇雪芹.乳腺X线摄影与超声诊断0期及Ⅰ期乳腺癌的临床研究[J].中国继续医学教育,2017,9(21):58-59.
[21]姜专基,刘鸿雁,魏世鸿,等.超声、钼靶X线及其联合应用诊断乳腺癌准确性的Meta分析[J].甘肃医药,2016,35(10):731-737.