彩色多普勒高频超声及X线钼靶联合诊断小乳腺癌的研究.pdfVIP

摘 要 彩色多普勒高频超声与X线钼靶联合诊断 小乳腺癌的研究 研究生：张芬 导师：马富成 摘 要 目的：探讨彩色多普勒超声和X 线钼靶摄片检查联合使用对小乳癌诊断的可行 性。方法：选择2007-2009 三年间我院经超声及X 线钼靶检查并经病理组织学确诊 的小乳癌病例，共65 例，病灶74 例，病灶直径≤1cm，对它们的影像学资料进行 回顾性分析。结果：彩色多普勒高频超声诊断的病理符合率54% （40/74 ），X 线钼 靶诊断的病理符合率为 55.4% （41/74 ）,彩色多普勒高频超声与X 线钼靶联合诊断 的病理符合率达78.38% ，χ2 检验证明彩色多普勒高频超声与X 线钼靶联合诊断的 灵敏度明显优于单用任一种方法，超声检查与钼靶检查二者之间相比没有优越性。 结论：对于直径≤1cm 的小乳腺癌，高频超声与X 线钼靶都存在较大困难，二者联 合诊断能有效提高诊断灵敏度，对临床诊治具有很高的指导意义。 关键词：小乳腺癌；彩色多普勒高频超声；X 线钼靶 —1— 新疆医科大学医学硕士学位论文 Research of high-frequency ultrasound combined with mammography in diagnosis of small breast carcinoma Postgraduate: zhangfen Supervisor: mafucheng Abstract Objective：To investigate the feasibility of high-frequency ultrasound combined with mammography in diagnosis of small breast carcinoma.Method: Choose 65 patients who suffer from breast carcinoma and diagnosed in Xinjiang Medical University affiliated cancer institute between 2007~2009,Total 74 lesions averaged diameter of lesions are ≤1cm in ultrasound image,all patients must have undertaken ultrasound and mammographic exam, all lesions have been resected and be comfirmed to be carcinoma by histopathology. Result ：The diagnostic sensitivity of high frequency ultrasound and mammography were54% and 55.4 % respectively. There was no significant difference between them. The sensitivity of combining two methods was significantly higher than that of only one , the sensitivity could reach 78.38 % . Conclusion：Combined two methods can incre