摘要
目的探讨鉴别乳腺良恶性病变时,采用多普勒超声检查与钼靶X线检查的临床价值。方法本研究共纳入112例疑似乳腺癌患者,均来源于安阳市妇幼保健院,选取时间为2022年10月至2024年10月,进行回顾性分析。患者均接受钼靶X线、多普勒超声检查。以病理检查结果作为金标准,分析钼靶X线、多普勒超声的检查结果,两种检查方法的漏诊、误诊率,对比两种检查方法对乳腺癌的诊断效能,分析两种检查方法的影像学特征。结果病理检查结果显示,乳腺恶性病变、良性病变的例数分别为80例、32例;钼靶X线检查结果显示,乳腺恶性病变、良性病变的例数分别为71例、41例;多普勒超声检查结果显示,乳腺恶性病变、良性病变的例数分别为78例、34例;多普勒超声诊断乳腺癌的漏诊率比钼靶X线检查低(χ^(2)=5.490,P<0.05);多普勒超声诊断乳腺癌的灵敏度、准确度、阴性预测值均比钼靶X线高(χ^(2)=5.714、6.694、4.550,均P<0.05)。结论在对乳腺良恶性病变的鉴别诊断中,相较于钼靶X线检查,多普勒超声检查具有较高的诊断效能,可清晰地反映各类病灶的影像学特征,临床价值较高。
Objective To explore the clinical value of Doppler ultrasound and mammography when identifying benign and malignant breast lesions.Methods A total of 112 suspected breast cancer patients were included in this study,all of which were from Anyang Maternal and Child Health Hospital.The selection period was from October 2022 to October 2024.They were subjected to retrospective analysis and all received mammography and Doppler ultrasound examinations.Using pathological examination results as the gold standard,the examination results of mammography and Doppler ultrasound were analyzed,the missed diagnosis and misdiagnosis rates of the two examination methods,the diagnostic efficacy of the two examination methods on breast cancer were compared,and the imaging characteristics of the two examination methods were analyzed.Results The pathological examination results showed that the number of cases of malignant and benign breast lesions were 80 and 32 respectively.The results of mammography examination showed that the number of cases of malignant and benign breast lesions were 71 and 41 respectively.The results of Doppler ultrasound examination showed that the number of cases of malignant and benign breast lesions were 78 and 34 respectively.The missed diagnosis rate of breast cancer in Doppler ultrasound was lower than that of mammography examination(χ^(2)=5.490,P<0.05);the sensitivity,accuracy and negative predictive value of Doppler ultrasound diagnosis of breast cancer were all higher than those of mammography(χ^(2)=5.714,6.694,4.550,all P<0.05).Conclusion In the differential diagnosis of benign and malignant breast lesions,compared with mammography examination,Doppler ultrasound examination has a higher diagnostic effect,and can clearly reflect the imaging characteristics of various lesions,demonstrating high clinical value.
作者
周晓丽
王凤姣
ZHOU Xiaoli;WANG Fengjiao(Women’s Health Management Center,Anyang Maternal and Child Health Hospital,Anyang,Henan 455000,China)
出处
《生物医学工程学进展》
2025年第6期843-849,共7页
Progress in Biomedical Engineering
关键词
多普勒超声检查
钼靶X线检查
鉴别
乳腺癌
良恶性
Doppler Ultrasound Examination
Mammography Examination
Identification
Breast Cancer
Benign and Malignant
