摘要
目的:研究乳腺X射线摄影与B超联合鉴别诊断乳腺肿瘤的效能。方法:选取2020年3月—2023年3月无锡市人民医院收治的103例乳腺肿瘤患者开展试验。对所有受试者均开展B超检查,同时分别实施全视野数字乳腺X射线摄影(full-field digital mammography,FFDM)。将病理检查结果视作金标准,分析乳腺X光机与B超联合应用于乳腺肿瘤鉴别诊断中的效能。此外,对比FFDM与B超联合对不同直径乳腺恶性肿瘤的检出率。结果:病理检查结果显示,恶性肿瘤71例,良性肿瘤32例。FFDM检出恶性肿瘤63例,其中6例误诊,8例漏诊;B超检出恶性肿瘤58例,其中8例误诊,13例漏诊。将病理检查结果视作金标准,FFDM联合B超诊断乳腺恶性肿瘤的灵敏度、特异度及准确率分别为98.59%、96.88%、98.06%,均高于单纯FFDM检查的88.73%、81.25%、86.41%与单纯B超检查的81.69%、75.00%、79.61%,差异有统计学意义(P<0.05)。FFDM联合B超对<2 cm乳腺恶性肿瘤的检出率为97.14%,高于单纯FFDM检查的82.86%与单纯B超检查的77.14%,差异有统计学意义(P<0.05)。结论:FFDM与B超联合诊断乳腺肿瘤的效能较佳,且能够实现对直径<2 c m的微小病灶乳腺癌的诊断,具有较高的临床应用价值,值得推广应用。
Objective To study the combined application efficacy of mammography and B-ultrasound in the differential diagnosis of breast tumors.Methods A total of 103 patients with breast tumor admitted to the Wuxi People's Hospital from March 2020 to March 2023 were selected to carry out the experiment.All subjects underwent B-ultrasound and full-field digital mammography(FFDM).The results of pathological examination were regarded as the gold standard to analyze the efficiency of combined application of FFDM and B-ultrasound in the differential diagnosis of breast tumors.In addition,the detection rate of breast malignant tumors with different diameters was compared between FFDM and B-ultrasound.Results Pathological examination showed that 71 cases of malignant tumor and 32 cases of benign tumor.63 cases of malignant tumor were detected by FFDM,of which 6 cases were misdiagnosed and 8 cases were missed;B-ultrasound detected 58 cases of malignant tumor,of which 8 cases were misdiagnosed and 13 cases were missed.The sensitivity,specificity and accuracy of FFDM combined with B-ultrasound in the diagnosis of breast malignant tumor were 98.59%,96.88%and 98.06%,respectively.They were higher than 88.73%,81.25%,86.41%for FFDM alone and 81.69%,75.00%,79.61%for B-ultrasound alone,the difference were statistically significant(P<0.05).The detection rate of FFDM combined with B-ultrasound for breast malignant tumor<2 cm was 97.14%,higher than that of FFDM alone and B-ultrasound alone 82.86%and 77.14%,the difference was statistically significant(P<0.05).Conclusion The combination of FFDM and B-ultrasound has better efficacy in diagnosing breast tumors,and can realize the diagnosis of small lesions with a diameter of less than 2cm breast cancer.It has high clinical application value and is worth popularizing.
作者
倪艳
NI Yan(Department of Imaging,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi,Jiangsu 214000,China)
出处
《影像研究与医学应用》
2023年第11期27-29,共3页
Journal of Imaging Research and Medical Applications
