146例I期乳腺癌的钼靶、B超与病理对照分析
Ⅰ期乳腺癌；,钼靶X线摄影；,超声检查；,病理诊断,,Ⅰ期乳腺癌；,钼靶X线摄影；,超声检查；,病理诊断,摘要,关键词,1资料与方法,2结果,3讨论
摘要: 目的: 探讨钼靶和B超对I期乳腺癌的诊断价值。方法: 收集146例I期乳腺癌(病灶直径≤2.0 cm)的钼靶和B超的影像学资料，与手术病理作对照分析。结果: 病灶直径≤1.0 cm 的Ⅰ期乳腺癌B超与钼靶的检出率差异无统计学意义(P>0.05)， 1.0 cm<病灶直径≤2.0 cm 的Ⅰ期乳腺癌B超与钼靶的检出率差异有统计学意义(P<0.05),B超检出率明显高于钼靶二者联合应用，诊断符合率为79.45%。 结论: 对临床疑为I期乳腺癌的患者应结合钼靶与B超进行检查，二者联合检查可提高I期乳腺癌的早期诊断率。关键词: Ⅰ期乳腺癌； 钼靶X线摄影； 超声检查； 病理诊断
The value of the combination of mammography and ultrasonography in detection of the 146 cases with stage Ⅰ breast cancer
WANG Wei, MA Binlin
(Department of Brease and Neckhead Surgery, Tumor Hospital, Xinjiang Medical University, Urumqi 830011, China)
Abstract: Objective: To improve the early diagnosis of breast cancer through a study of the mammography and ultrasonography finding of the stage Ⅰ breast cancer. Methods: The mammography and ultrasonography findings of 146 cases of the stage Ⅰ breast cancer (ф≤2.0 cm) were studied and compared with pathological results. Results: The diagnostic accuracy of ultrasonography and mammography was no statistical difference respectively(P>0.05). When 40 cases intramamary diameter were in 1 cm. When assessing the lession arising in atrophy type breast. However, In detecting breast fine cluster of calcification, the sensitivity of mammography was better than that of ultrasonography. There was a statistical difference between both modalities (P<0.05), ultrasonography was surperior to mammography between 1 cm to 2 cm. Conclusions: The patient suspected of small breast cancer should combined the mammography with ultrasonography to improve the diagnostic rate of the stage Ⅰ breast cancer. ......
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