目的：比较乳腺B超和钼靶检查在乳腺癌筛查中的价值。方法：回顾性分析82例乳腺癌患者的乳腺超声与钼靶检查结果，并与手术活检病理结果对照分析。结果：乳腺超声和钼靶的诊断敏感性分别为79.27%（65/82）、81.71%（67/82），两者比较差异无统计学意义（P>0.05）。乳腺B超在绝经前乳腺癌患者中的诊断敏感性高于钼靶（79.55%vs 52.28%，P<0.05），而在绝经后患者中乳腺B超与钼靶的敏感性差异无统计学意义（84.21%vs 86.84%，P>0.05）。乳腺超声与钼靶的联合诊断敏感性为92.68%（76/82），与单纯钼靶X线或B超检查相比，差异均有统计学意义（P<0.01）。结论：乳腺B超的诊断敏感性高于钼靶，乳腺B超在我国能否作为乳腺癌普查的首选方法值得进一步研究。%Objective:To compare the diagnostic value of ultrasonography and mammography for breast cancer. Method:The ultrasonography and mammography results of 82 breast cancer patients who have underwent biopsy for pathologic diagnosis were retrospectively analyzed.Result:The sensitivity of ultrasonography and mammography were respectively 79.27%(65/82)and 81.71%(67/82),and there was no significant difference between the two groups (P>0.05).When mammography was combined with ultrasonography,the diagnostic accuracy raised markedly to 92.68%(76/82)(P<0.01).Conclusion:The sensitivity of ultrasonography is higher than mammography for breast cancer screening.Weather the ultrasonography could be the preferred method for breast cancer screening in our country is worth further research.
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