摘要
目的:探讨查体、B超两种方法诊断乳腺癌腋窝淋巴结转移的价值。方法:以术后病理检测为金标准,评价查体、B超两种方法对乳腺癌腋窝淋巴结转移的诊断。术前查体且术后病理检测乳腺癌腋窝淋巴结的患者共468例,术前B超且术后病理检测乳腺癌腋窝淋巴结的患者共139例。分别进行灵敏度、特异度、误诊率、漏诊率、准确度、阳性预告值、阴性预告值计算并进行统计学检验。结果:查体诊断乳腺癌腋窝淋巴结转移的灵敏度为49.79％,特异度为81.39％,准确度为65.38％,阳性预测值为73.29％,阴性预测值为61.24％;B超诊断乳腺癌腋窝淋巴结转移的灵敏度为69.23％,特异度为65.57％,准确度为67.63％,阳性预告值为72.0％,阴性预测值为62.5％。B超诊断乳腺癌腋窝淋巴结转移的灵敏度与查体具有显著差异(Fisher's exact检验,P=0.004)。结论:B超诊断乳腺癌腋窝淋巴结转移的灵敏度高于查体;查体、B超两种方法对乳腺癌腋窝淋巴结转移的准确度、预告值相似,有一定的临床意义。
Objective:To investigate the value of ultrasound and physical examination in diagnosing the axilla lymph node metastasis from breast carcinoma. Methods:The axilla lymph nodes of 455 patients with breast carcinomas were checked by physical and pathology examination another 139 patients were checked by ultrasound and pathology examination. Then the analysis was made by stata soft. Results:The sensitivity, specificity, accuracy, positive predictive value and negative predictive value in physical examination were 49. 79% ,81. 39% ,65. 38%,73. 29% and 61. 24% , respectively, and in ultrasound diagnosis were separately 69. 23%,65. 57%,67. 63%,72. 0% and 62. 5%.There was significant difference in sensitivity (P = 0. 004) between physical examination and ultrasound diagnosis. Conclusion:Sensitivity of ultrasound diagnosis is higher than that of physical examination. Physical examination and ultrasound diagnosis have the similar accuracy and predictive value in diagnosing axilla lymph node metastasis from breast carcinoma, and they will be helpful in clinics.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2004年第5期576-577,共2页
Academic Journal of Second Military Medical University
关键词
乳腺癌
腋窝淋巴结转移
诊断
超声检查
breast neoplasms
axilla lymph node
physical examination
ultrasound
