目的探讨超声与钼靶对乳腺癌的诊断价值。方法回顾性分析我院2011年1月-2013年1月200例乳腺疾病患者的病史资料，均经穿刺活检或手术病理检查，比较超声、钼靶X线以及两者联合应用在乳腺癌早期诊断中的价值。结果超声检查灵敏度78.8%，特异度85.1%；钼靶X线检查灵敏度76.9%，特异度83.8%；联合检查灵敏度94.2%，特异度92.6%。超声联合钼靶X线检查乳腺癌的灵敏度和特异度均显著优于单一检查，差异有统计学意义(P<0.05)。结论超声联合钼靶X线检查是乳腺癌患者早期诊断的首要选择，特异度和灵敏度均较单一检测高，值得临床推广。%Objective To analyze the value of high frequency ultrasound and manunography in the early diagnosis of breast cancer and differential diagnosis of benign versus malignant nature of breast tumors. Methods Select 200 cases of patients with breast disease from January 2011 to January 2013 in our hospital, all the patients were confirmed by means of surgery and pathological examinations in diagnosis. Compared the result of high frequency ultrasound with that of mammography. The results of pathologic examination was regarded as the gold standard, compared the combined results of the other two with the result of any one method as well. Results The sensitivity of high frequency ultrasound was 78.8%, while the specificity of that was 85.1%; he sensitivity of manunography was 76.9%, while the specificity of that was 83.8%; he sensitivity of combination of manunography and high frequency ultrasound was 94.2%, while the specificity of that was 92.6%; no significant difference in difference were found between manunography and high frequency ultrasound, it had remarkable difference between the combination and one method. Conclusion The combination of manunography and high frequency ultrasound has high sensitivity and specificity, it is the first choice of methods for patients with breast disease.
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