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目的探讨乳腺钼靶联合彩色多普勒超声在T1期乳腺癌诊断中的临床价值。方法对58例乳腺癌患者分别进行乳腺钼靶、彩色多普勒超声及2者联合检查,其中45例行乳腺钼靶检查,43例行彩色多普勒超声检查,40例行2者联合检查,比较3种检查措施对乳腺癌的诊断价值。结果单纯钼靶检查患者的阳性率为62.22%,单纯彩色多普勒超声检查阳性率为55.81%,2者联合检查阳性率为87.5%,明显高于单纯钼靶或彩色多普勒超声检查,差异具有统计学意义(P<0.05)。钼靶检查对45岁及以上患者的阳性率为76.67%,45岁以下的为40.00%,差异有统计学意义(P<0.05);彩色多普勒超声检查对45岁及以上患者的阳性率为59.09%,45岁以下为57.14%,差异无统计学意义(P>0.05)。结论乳腺钼靶诊断T1期乳腺癌容易受到患者年龄的影响,联合彩色多普勒超声检查可明显提高T1期乳腺癌的诊断。
Objective To investigate the clinical value of mammography combined with color Doppler ultrasonography in the diagnosis of T1 breast cancer. Methods Fifty-eight breast cancer patients underwent mammography, color Doppler ultrasonography and two combined examinations. Forty-five patients underwent mammography, 43 underwent color Doppler ultrasonography and 40 underwent combined examinations , Comparing the diagnostic value of three kinds of test measures on breast cancer. Results The positive rate of pure molybdenum target examination was 62.22%, the positive rate of color Doppler ultrasonography was 55.81%, the positive rate of combined examination was 87.5%, which was significantly higher than that of pure molybdenum target or color Doppler ultrasonography, The difference was statistically significant (P <0.05). The positive rate of mammography in patients aged 45 years and above was 76.67% and in patients under 45 years old was 40.00%, the difference was statistically significant (P <0.05); the positive rate of color Doppler ultrasonography in patients 45 years and above 59.09%, and 57.14% under 45 years old, the difference was not statistically significant (P> 0.05). Conclusion Breast molybdenum target diagnosis of T1 breast cancer is susceptible to the age of patients, combined with color Doppler ultrasound can significantly improve the diagnosis of T1 breast cancer.