摘要
目的:探讨钼靶摄片与B型超声波(B超)检查联合针吸细胞学检查诊断乳腺肿块的可靠性及对临床的指导意义。方法:选择有病理对照的104例乳房肿块患者,部分患者采用钼靶摄片及超声检查的影像学手段联合针吸细胞学,并将其结果与单一细胞学检查结果比较,评价钼靶摄片和超声检查与针吸细胞学联合检查的准确性。结果:104例患者中联合钼靶摄片的细胞学诊断准确率为95.2%,联合超声检查的细胞学诊断准确率为90.9%,单一的细胞学诊断准确率为80%。假阳性未见。结论:通过钼靶摄片及超声检查的影像学手段与细针穿刺细胞学联合诊断较为可靠,对术前诊断有一定的指导意义,但应结合实际情况选择合适的联合检查模式。
Objective:To evaluate the reliability and the clinical significance in cytological diagnosis of breast lump combined with mammography and ultrasound. Methods: A total of 104 cases with breast lump were examined with preoperative diagnosis and histological comparision after operation. A part of patients performed FNAC alone, and the others performed mammography and ultrasound examination before FNAC. Results: The dignostic accuracy in the cases combined mammography was 95.2%. The dignostic accuracy in the cases combined ultrasound was 90. 9%. The dignostic accuracy in the cases with FNAC was 80%. No false positive. Conclusion: It is more reliable that imaging and FNAC specimens are combined used.
出处
《现代肿瘤医学》
CAS
2008年第4期550-552,共3页
Journal of Modern Oncology