乳腺疾病普查中常用检查方法的临床比较

摘要

目的：在妇女乳腺疾病普查中，评价触诊、红外线乳透、X线钼靶（ MAM）、超声（ US）4种常用方法的临床价值。方法：回顾性分析我院妇女普查结果，比较4种检查方法的优缺点。结果：触诊、红外线乳透、X线钼靶、超声4种方法检出乳腺癌的阳性率分别为45.83%、52.08%、81.25%和83.33%。漏诊数分别为26、23、9和8例。统计学处理表明阳性率和漏诊数钼靶和超声无显著差异（ p<0.05），但两者明显优于其它方法。结论：触诊仍为普查的第一关，X线钼靶、超声应作为普查的首选，但即使几种方法均使用，仍有少数病例漏误诊，因此，须强调联合检查和综合分析。%Objective:To evaluate the clinical value of the four common methods of palpation,breasts infra-red ray scanning,molybdenum target X-ray,and ultrasound. Methods:The women′s breast health examination result was analyzed and the advantages and disadvantages of the four methods were compared. Results:The positive rates of breast cancer diagnosed by means of palpation,breasts infra-red ray scanning,molybdenum target X-ray,and ultra-sound were 45. 83%,52. 08%,81. 25% and 83. 33% respectively. Missed diagnoses were 26,23,9 and 8 cases. Sta-tistical analysis showed that the positive rates and the number of missed diagnosis had no significant difference( p<0. 05)by molybdenum target X-ray and ultrasound,but both methods were obviously better than the others. Conclu-sion:Palpation is still the first step in the process of inspection. Molybdenum target X-ray and ultrasound should be used as the prime auxiliary choice of the inspection. Even though several methods are all used,there were few misdiag-nosed cases. Therefore,the importance of the combination of several methods and comprehensive analysis must be em-phasized.