超声联合数字钼靶X线对不同级别乳腺导管原位癌的筛查价值.docVIP

论著 彩色多普勒超声联合数字钼靶X线对不同级别乳腺导管原位癌的应用价值 Theory of ultrasonic joint line of molybdenum target X digital value to the diagnosis of small breast cancer 程志坚 危成波 周芳 CHENG Zhi-Jian WEI Chen-Bo ZHOU Fang 南方医科大学附属广东省中山市小榄人民医院 广东省中山市 邮编528415 Xiaolan, zhongshan city, guangdong province peoples hospital affiliated to southern medical university 【摘要】 目的 探讨超声联合数字钼靶X线对不同级别乳腺导管原位癌的应用价值。方法 经病理学证实的48例女性乳腺导管原位癌（ 低级别乳腺导管原位癌13例、中级别乳腺导管原位癌12例、高级别乳腺导管原位癌23例），均采用彩色多普勒超声检查和钼靶X线检查对不同级别导管原位癌进行诊断与鉴别诊断。结果 钼靶对低、中、高级别导管原位癌诊断为BI-RADS4或5级(中度或高度怀疑恶性病变)分别为７例、８例、２０例; 彩色多普勒超声对低、中、高级别导管原位癌诊断为BI-RADS4或5级(中度或高度怀疑恶性病变)分别为８例、９例、１７例；同时两种方法联合对低、中、高级别导管原位癌诊断为BI-RADS4或5级(中度或高度怀疑恶性病变)分别为９例、10例、２１例。结论　彩色多普勒超声诊断与钼靶X线诊断的诊断结果无明显差异；彩色多普勒超声与钼靶X线摄影联合应用可提高对不同级别导管原位癌诊断率，值得临床推广。 【关键词】乳腺导管原位癌;超声；钼靶X线 【 abstract 】 Objective To investigate the ultrasound combined with digital mammography X-ray of ductal carcinoma in situ with different levels of application value. Method Confirmed by pathology of 48 cases of female breast ductal carcinoma in situ (low level level in 13 cases of ductal carcinoma in situ, ductal carcinoma in situ in 12 cases, high level of 23 cases of ductal carcinoma in situ), all use of color doppler ultrasound and molybdenum target X-ray on different levels for diagnosis and differential diagnosis of ductal carcinoma in situ. Results Mammography for low, medium and high grade ductal carcinoma in situ diagnosis of BI - RADS4 or level 5 (moderately or highly suspected malignant lesions) of 7 cases respectively, 8 cases, 20 cases; Color doppler flow imaging (cdfi) in low, medium and high grade ductal carcinoma in situ diagnosis of BI - RADS4 or level 5 (moderately or highly suspected malignant lesions) of 8 cases, 9 cases, 17 cases respectively; The combination of the two methods at the same time low, medium and high grade ductal carcinoma in situ diagnosis of BI - RADS4 or level 5 (moderately or highly suspected malignant lesions) of 9 cases, 10 cases, 21 cases respectively. Conclusion Color doppler