【摘要】 目的探讨X线和彩色多普勒超声成像在早期乳腺癌诊断中的价值。方法回顾性分析我院2017年2月～2018年9月接诊的早期乳腺癌患者72例,所有患者术前均行X线和彩色多普勒超声成像检查,术中取病理组织活检,以病理学检查结果作为金标准,比较两种检查诊断早期乳腺癌的价值、癌症影像特征和病理类型的检出情况。结果两种单项检查癌症检出率、漏诊率和误诊率差异均无统计学意义(P> 0.05);超声成像对异常血管、肿块和淋巴结的检出率高于X线,对微型钙化检出率低于X线(P <0.05);超声成像对致密型和多腺体型乳腺癌检出率高于X线,对少腺体型和脂肪型乳腺癌检出率低于X线(P <0.05)。结论两种单项检查癌症检出率差别不大,但X线和彩色多普勒超声成像检查对不同病理类型和影像学特征乳腺癌的检出各自具有一定优势。更多还原

【Abstract】 Objective To explore the values of X-ray and color Doppler ultrasound imaging in the diagnosis of early breast cancer. Methods 72 patients with early breast cancer who were treated in our hospital from February2017 to September 2018 were retrospectively analyzed.All patients underwent X-ray and color Doppler ultrasound imaging examinations before surgery,and pathological tissue was taken for biopsy during surgery.With pathological examination results as the gold standard,the values of the two examinations in diagnosis of early breast cancer,the imaging characteristics of cancer,and the detection of pathological type were compared. Results There was no statistically significant difference in the detection rate,missed diagnosis rate and misdiagnosis rate of cancer between the two single examinations(P > 0.05).The detection rates of abnormal blood vessels,masses and lymph nodes by ultrasound imaging was higher than those of X-ray,and the detection rate of micro-calcification was lower than that of X-ray(P < 0.05).The detection rate of dense and polyglandular breast cancer was higher than that of X-ray,but the detection rate of less glandular and fatty breast cancer was lower than that of X-ray(P < 0.05). Conclusion There is no significant difference in the detection rate of cancer between two single examinations.However,X-ray and color Doppler ultrasound imaging have certain advantages for the detection of breast cancer with different pathological types and imaging characteristics.更多还原