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目的:探讨超声与钼靶X线对乳腺肿块的诊断价值。方法:回顾性分析436例乳腺肿块患者的术前超声、钼靶X线及两者联合应用的诊断结果与术后病理结果对照,分析两种检查方法单独及联合应用诊断乳腺肿块的敏感性、特异性及准确性。结果:对照病理结果,乳腺肿块术前超声、钼靶X线及两者联合诊断的灵敏度、特异度、符合率分别为:74.07%、90.95%、89.91%;70.37%、74.57%、74.31%;85.19%、94.38%、93.81%。两者联合诊断乳腺良恶性肿瘤的灵敏度、特异度及符合率均优于单用超声、钼靶,差异均有统计学意义(P<0.01)。结论:超声、钼靶X线在乳腺肿块诊断中具有较高的临床价值,两者联合应用可以提高检出率,降低其漏、误诊率。
Objective: To investigate the diagnostic value of ultrasound and mammography X-ray on breast masses. Methods: A retrospective analysis of 436 cases of breast lumps in patients with preoperative ultrasound, mammography X-ray and the combination of the two diagnostic results and postoperative pathological results of control, the two methods of inspection alone and in combination for the diagnosis of breast lump sensitivity, Specificity and accuracy. Results: According to the pathological results, the sensitivity, specificity and coincidence rate of preoperative ultrasonography, mammography and mammography were 74.07%, 90.95%, 89.91%, 70.37%, 74.57% and 74.31% respectively. 85.19%, 94.38%, 93.81%. The sensitivity, specificity and coincidence rate of the two in the diagnosis of benign and malignant breast tumors were better than that of single ultrasound and mammography respectively (P <0.01). Conclusion: Ultrasound and mammography X-ray has high clinical value in the diagnosis of breast masses. The combination of the two can improve the detection rate and reduce the missed and misdiagnosed rate.