乳腺癌合并细微钙化钼靶X线与彩超影像诊断对比分析.pdfVIP

　　《中国医学创新》第 11 卷 第 1 期（总第 283 期）2014 年 1 月 临床研究 Linchuangyanjiu 乳腺癌合并细微钙化钼靶X线与彩超影像诊断 对比分析 程艳珍① 　　【摘要】　目的：观察钼靶 X 线与彩超对乳腺癌合并细微钙化的影像表现，比较分析两种诊断方法影像特点，指导临床对乳腺癌合并细 微钙化的影像诊断。方法： 回顾性分析 2011 年 4 月 -2012 年 4 月本院收治的 60 例经临床手术病理证实的乳腺癌合并细微钙化的患者影像 学资料，分别采用钼靶 X 线与彩色多普勒超声两种影像诊断方法，比较两种影像诊断方法对乳腺癌合并细微钙化的准确性及影像特点。结果： 钼靶 X 线对钙化灶的检出率为 65.0%，高于彩超的 35.0%，差异有统计学意义（P0.05）；钼靶 X 线检出灵敏度为 86.67%，超声成像对微小 钙化检出灵敏度为 46.67%。结论：钼靶 X 线对乳腺癌合并细微钙化的敏感度高于彩超，对早期诊断乳腺癌有较高的诊断价值，彩超可检出 钼靶 X 线影像检出的假阴性病灶，临床可作为辅助诊断和初步筛查。 【关键词】　 　　 乳腺癌；　细微钙化；　钼靶 X 线；　彩色多普勒超声 　　Comparative Analysis of Diagnosis of Breast Cancer with Slight Calcification by Mammography and Color Doppler Ultrasound Imaging/ CHENG Yan-zhen.//Medical Innovation of China，2014，11（01）：058-060 　　【Abstract】　Objective： To observe the imaging manifestations of mammography and color doppler ultrasound for breast ca with slight calcification， comparative analysis of imaging characteristics of two diagnosis methods， to guide the clinical imaging diagnosis of breast cancer with slight calcification. Method： Retrospectively analyzed the clinical imaging data of 60 patients in our hospital from April 2011 to April 2012， which were surgical pathologic proved breast cancer with slight calcification. Respectively used mammography and color doppler ultrasound， compared the accuracy and image features of two image diagnosis method for breast cancer with slight calcification. Result： The microcalcification detection rate of molybdenum target X-ray was 65.0%， higher than color doppler ultrasound detection rate （35.0%）， difference was statistically significant （P0.05）； Detection sensitivity rate of molybdenum target X-ray was 86.67%， slight calcification detection sensitivity of ultrasonic imaging was 46.67%. Conclusion： The sensitivity of molybdenum target X-ray to breast cancer with small calcif