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目的:比较乳腺X线摄影与超声在早期老年乳腺癌诊断中区别与应用价值。方法:选择2014年8月至2016年6月在我院就诊的老年早期乳腺癌患者为研究对象,回顾性分析比较乳腺X线摄影检查结果与乳腺超声在乳腺癌及腋窝淋巴结的辅助诊断中的诊断确诊率,分析其区别与价值。结果:(1)乳腺X线摄影比超声对钙化更敏感,而超声比乳腺X线摄影对肿物检出率更高。(2)对于直径在0.5-2.0 cm之间的小肿瘤,超声检出率比乳腺X线摄影高;而对于肉眼及查体可扪及的乳腺大肿物(直径>2.0 cm),二者的检出率无明显差异。(3)乳腺X线摄影与超声对乳腺癌诊断率无明显差异,乳腺X线摄影+超声对乳腺癌的准确率高于乳腺X线摄影。结论:两种方法在老年早期乳腺癌的辅助检查中各有优缺点,二者联合应用可达到增加诊断准确率之目的。
Objective: To compare the difference between mammography and ultrasound in the diagnosis of early-stage breast cancer. Methods: The elderly patients with early-stage breast cancer who were treated in our hospital from August 2014 to June 2016 were selected as the study objects. The results of mammography and mammography in the diagnosis of breast cancer and axillary lymph nodes were analyzed retrospectively Diagnose the diagnosis rate, analyze its difference and value. Results: (1) Mammography is more sensitive to calcification than ultrasound, while ultrasound is more sensitive than mammography. (2) For small tumors between 0.5 and 2.0 cm in diameter, the ultrasound detection rate is higher than that of mammography; whereas for both macroscopic and palpable breast masses (> 2.0 cm in diameter), both No significant difference in the detection rate. (3) There was no significant difference in the diagnostic rate of breast cancer between mammography and ultrasound. The accuracy of mammography + ultrasound in breast cancer was higher than that of mammography. Conclusion: The two methods have their own advantages and disadvantages in the auxiliary examination of early-stage breast cancer. The combination of the two methods can achieve the purpose of increasing the diagnostic accuracy.