目的：探讨超声弹性成像、彩色多普勒超声与钼靶X线诊断乳腺疾病的价值。方法回顾分析经病理证实的528例，共576个手术病灶，分别分析超声弹性成像、彩色多普勒超声、钼靶X线以及三者联合的对乳腺病变诊断敏感性、特异性、准确性。结果超声弹性成像对乳腺病变诊断敏感性、特异性、准确性分别为85．2％（196/230）、81．8％（283/346）、83．2％（479/576）；彩色多普勒超声对乳腺病变诊断敏感性、特异性、准确性分别为84．3％（194/230）、83．5％（289/346）、83．9％（483/576）；钼靶X线对乳腺病变诊断敏感性、特异性、准确性分别为79．1％（182/230）、76．6％（265/346）、77．6％（447/576）；三者联合对乳腺病变诊断敏感性、特异性、准确性分别为93．0％（214/230）、91．3％（316/346）、92．0％（530/576）。结论超声弹性成像对乳腺病变诊断具有较高的敏感性和特异性，弥补了彩色多普勒超声及钼靶X线对乳腺疾病诊断的不足。%Objective To analyze the performance of ultrasonic elastography (UE) ,color doppler flow imaging(CDFI) and mam-mography in breast neoplasms and discuss the value of the three methods in breast disease diagnosis .Methods Retrospective analy-sis of 528 cases were pathologically confirmed ,including 576 surgical lesions .the diagnostic sensitivity ,specificity and accuracy of breast lesions were analyzed by UE ,CDFI ,X-ray separately and combined methods .Results For UE in diagnosis of breast cancer , the sensitivity ,specificity and accuracy were 85 .2% (196/230) ,81 .8% (283/346) ,83 .2% (479/576)respectively .For CDFI meth-od ,the sensitivity ,specificity and accuracy were 84 .3% (194/230) ,83 .5% (289/346) ,83 .9% (483/576)respectively .For mammog-raphy method ,the sensitivity ,specificity and accuracy were 79 .1% (182/230) ,76 .6% (265/346) ,77 .6% (447/576) .The sensitivi-ty ,specificity and accuracy of combined diagnosis by three methods on breast lesions were 93 .0% (214/230) ,91 .3% (316/346) , 92 .0% (530/576) .Conclusion The diagnosis of breast lesions by UE is of high sensitivity and specificity ,which could make up for the lack of CDFI and mammography in the diagnosis of breast diseases .
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