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目的:总结早期乳腺癌在超声、乳腺X线的影像表现。探讨适合乳腺癌筛查及早期诊断的方法,提高乳腺癌的诊治率。方法:收集我院2013.1月--2015.10月行空心针穿刺活检或手术后经病理证实的早期乳腺癌患者180例。对比分析应用超声、乳腺X线及钼靶X线与超声联合检查对早期乳腺癌诊断的敏感性、特异性、准确度等指标。结果:钼靶X线与超声对早期乳腺癌的诊断符合率分别为85.5%和83.8%,两者结果无统计学意义(P>0.05):钼靶联合超声检查的符合率为94.5%,高于单纯使用一种检查方法,结果均具有统计学意义(P<0.05)结论:乳腺超声检查与钼靶X线检查的黄金组合具有检查准确性高、费用低、操作简便等优点,是目前乳腺疾病影像学检查的首选方法。
Objective: To summarize the imaging features of early breast cancer in ultrasound and mammography. To explore suitable screening and early diagnosis of breast cancer methods to improve the diagnosis and treatment of breast cancer. Methods: 180 cases of early breast cancer confirmed by pathology after needle biopsy or operation were collected in our hospital from January 2013 to January 2015. The sensitivity, specificity and accuracy of ultrasound, mammography, mammography and ultrasound in the diagnosis of early breast cancer were compared. Results The coincidence rates of mammography and ultrasound in the diagnosis of early breast cancer were 85.5% and 83.8%, respectively. There was no significant difference between them (P> 0.05). The coincidence rate of mammography and ultrasonography was 94.5% (P <0.05) Conclusions: The gold combination of mammography and mammography has the advantages of high accuracy, low cost, easy operation and so on. It is the current breast The preferred method of disease imaging.