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目的比较彩超和钼靶X线单独或联用对未触及肿块乳腺肿瘤的诊断效果。方法对140例未触及肿块的可疑乳腺肿块患者行彩超和钼靶X线单独或联用检查,并将其诊断结果与病理切片检查结果进行比较。结果钼靶X线和彩超串联检测准确性低于病理结果 ,差异具有统计学意义(P<0.05);与病理结果相比,单独使用和并联检查的准确率,差异无统计学意义(P>0.05);并联检测的敏感度高于单独和串联检测,同时并联检测的假阴性率最低。结论对于未触及肿块的乳腺癌患者采用钼靶X线和彩超并联检测的诊断效果明显,值得在临床推广应用。
Objective To compare the diagnostic value of color Doppler ultrasonography and molybdenum target X-ray alone or in combination on non-palpable breast tumors. Methods One hundred and fourteen patients with suspected breast masses without palpable mass were examined by color Doppler ultrasonography and mammography X-ray alone or in combination. The diagnostic results were compared with the results of pathological examination. Results The detection accuracy of Molybdenum target X-ray and ultrasonography was lower than that of pathological results (P <0.05). There was no significant difference in the accuracy of paired mammography between X-ray and ultrasonography (P> 0.05). The sensitivity of parallel detection was higher than that of single and tandem detection, and the false negative rate of parallel detection was the lowest. Conclusion The diagnosis of breast cancer without palpable mass using mammography X-ray and color Doppler detection is obvious and worthy of clinical application.