【摘要】 目的探讨高频彩超联合乳腺钼靶早期筛查乳腺癌的临床效果。方法对180例疑似乳腺癌患者分别采用乳腺钼靶、高频彩超来筛查乳腺癌,比较不同肿块直径的各种筛查方法的诊断率,分析单独筛查和联合筛查的灵敏度和特异度。结果当肿块直径≤1.5 cm时,联合筛查的诊断率均明显高于乳腺钼靶检查、彩超检查;联合检查筛查乳腺癌的灵敏度为91.7%,分别高于乳腺钼靶的62.1%(P<0.05)、高频彩超的56.1%(P<0.05);联合检查筛查乳腺癌的特异度为95.8%,分别高于乳腺钼靶的60.4%(P<0.05)、高频彩超的64.6%(P<0.05)。结论高频彩超联合乳腺钼靶早期筛查乳腺癌,不仅可以提高微小肿块乳腺癌的检出率,而且可以提高早期筛查乳腺癌的灵敏度和特异度。更多还原

【Abstract】 Objective To explore the clinical effect of high frequency color Doppler combination with mammography for early screening of breast cancer. Methods A total of 180 cases of suspected breast cancer were used mammography examination and high frequency color Doppler, respectively, to screen breast cancer. The diagnose rates in different diameter of tumor were compared among different examination methods, and the sensitivity and specificity were analyzed. Results When the diameter of tumor was less than 1.5 cm, the diagnose rate of combination screening was obviously higher than both mammography examination and color Doppler examination. The sensitivity of mammography combination with high frequency color Doppler was 91.7%, higher than mammography examination(62.1%, P<0.05) and high frequency color Doppler examination(56.1%, P<0.05). The specificity of mammography in combination with high frequency color Doppler was 95.8%, which was higher than mammography examination(60.4%, P<0.05) and high frequency color Doppler examination(64.6%, P<0.05). Conclusion High frequency color Doppler in combination with mammography is effective in early screening breast cancer, it not only raises detection rate of small mass breast cancer, but also increases the sensitivity and specificity of early screening breast cancer.更多还原