乳腺癌临床体检、超声检查和乳腺X线摄影术的诊断价值

摘要

To assess the diagnosis value of clinical examination ( CE ), ultrasonography ( US ) and mammography ( MAM ) in diagnosing breast cancer. Methods The data of CE, US and MAM of 454 patients with breast diseases was collected to conduct comparative analysis with operation and pathology. Results The diagnosis sensitivity of breast cancer by CE, US and MAM was 81. 93% , 82. 35% and 81. 48% , respectively, and the specificity of them was 83. 29% , 85. 98% and 85. 26% , respectively, with no statistical difference among groups ( P >0. 05 ). Combining US or MAM with CE could enhance sensitivity to 94. 12% and 94. 44% , respectively, and the difference was statistically significant (x2 value was 4. 533 and 4. 285 respectively, both P < 0. 05 ), but the specificity declined and the difference was not statistically significant ( P >0. 05 ). Conclusion CE should be strengthened in screening breast cancer, and US is a simple, effective, non-invasive and economic method. Combining CE with US is the first choice for diagnosing breast cancer in primary hospitals.%目的 探讨临床体检、超声检查和乳腺X线摄影术对乳腺癌的诊断价值.方法 收集454例乳腺病人的临床体检、超声和乳腺X线摄影术治疗,与手术病理作对照分析.结果 临床体检、超声检查和乳腺X线摄影术诊断乳腺癌的敏感度分别为81.93%,82.35%,81.48%,三者诊断乳腺癌的特异度分别为83.29%,85.98%,85.26%,组间差异均无统计学意义(P>0.05).超声检查或乳腺X线摄影术与临床体检结合可将敏感度提高至94.12%,94.44%,差异有统计学意义(χ2分别为4.533、4.285,均P<0.05),特异度则有所降低,但差异无统计学意义(P>0.05).结论 应重视乳腺癌临床体检,乳腺癌超声检查简便、有效、无创和经济.临床体检结合超声检查可作为基层医院诊断乳腺癌的首选方法.