彩色多普勒超声联合钼靶对乳腺癌的诊断价值.pdfVIP

实用癌症杂志2016年7月第31卷第 7期 ThePracticalJournalofCancer,July2016,Vol31xNo．77 · l095 · 彩色多普勒超声联合钼靶对乳腺癌的诊断价值 朱玉胜 徐桂影 陶 莉 【摘要】 目的 探讨彩色多普勒超声联合钼靶对乳腺癌的诊断价值。方法 108例女性乳腺癌患者中35例仅行 彩色多普勒超声检查、33例仅行钼靶 x线检查，39例给予联合检查。结果 108例乳腺癌患者中，59例左乳、49例右 乳，均为单侧发病，平均直径 (2．7±0．4)cm；病理类型：2例导管内癌、106例浸润性非特殊癌。与彩色多普勒超声、钼靶 x线相比，联合检查的诊断符合率明显增高，漏诊率显著降低，P0．05；与钼靶 x线相比，彩色多普勒超声在肿块、异常 血管征或血流信号、腋窝淋巴结肿大方面的诊断率均明显提 高，但对微小钙化的诊断率显著降低 ，P0．05。结论 彩色 多普勒超声与钼靶x线检查各有优势，但两者联合应用可以发挥互补作用，提高乳腺癌的临床诊断率。 【关键词】 彩色多普勒超声；钼靶x线；乳腺癌；诊断价值 DOI：10．3969／j．issn．1001—5930．2016．07．016 中图分类号：R737．9 文献标识码：A 文章编号：1001—5930(2016)07—1095-03 DiagnosticValueofColorDopplerUltrasound CombinedwithM amography f0rBreastCancer ZHU Yusheng，XU Guiying，TAOLi． MaanshanSeventeenMetallurgicaltfospital，Maanshan，243000 【Abstract】 Objective TostudythediagnosticvalueofcolorDopplerultrasoundcombinedwithmamographyforbreast cancer．M ethods Among108casesofbreastcancer，35caseswereexaminedbycolorDopplerultrasound，33caseswereexam— inedbyX—raymamography，and39caseswereexamined bycombination application．Results Inthe108patientswithbreast cancer，59casesofleftbreastand49casesofrightbreastwereunilateralandtheaveragediameterwas(2．7±0．4)am；Thesub— jectsincluded2casesofductalcarcinomaand106casesofinvasivenonspecialcarcinomabythepathologicaltype；compared withcolorDopplerultrasoundorX—raymamography，thediagnosticrateofcombinedexamination increasedsignificantlyandthe misseddiagnosisratewasobviouslydecreasedinthecombinedexamination(P0．05)；comparedwithX—raymamography，the diagnosticrateoftumor，abnormalbloodvesselsorflow signals，axillarylymphnodesignificantlyincreasedandthediagnosticrate ofmicrocalcificationwasobviouslyreducedincolorDopplerultrasoundexamination(P0．05)．Conclusion Thecolor DoppleruhrasoundandX—raymamographyhaverespectiveadvantagesandthecombinedexaminationcanplaycompleme