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Correlation analysis between ultrasonography and mammography with other risk factors related to breast cancer

机译:超声和钼靶检查与乳腺癌相关的其他危险因素的相关性分析

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摘要

Value and correlation analysis between ultrasound and mammography in the diagnosis and other risk factors related to breast cancer were explored. A total of 1,473 patients who underwent breast color ultrasonography and molybdenum target X-ray examination in Binzhou Medical University Hospital from March 2017 to August 2018 were collected, and the patient's ultrasound and mammography results were compared, also the pathological biopsy was used as the reference golden criteria to calculate the value of both test methods and the value of combined diagnosis in breast cancer. The risk factors associated with breast cancer were analyzed. Among the 1,473 patients, 387 breast cancer patients were detected by ultrasonography, 351 by mammography and 339 cases by combined diagnosis. A total of 314 cases were diagnosed as breast cancer after pathological biopsy. However, there were significant differences in tumor size, stages, and BI-RADS grades (P<0.05). There was no significant difference in the diagnostic efficacy between ultrasonography and mammography (P>0.05), however, the diagnostic efficacy of ultrasonography combined with mammography was significantly better than the two single tests (P<0.05). After logistic regression analysis, there was no significant correlation between residence address, height, blood type, ethnicity, or education with breast cancer (P>0.05). However, age, fertility status, and BMI were all risk factors related to breast cancer (OR>1; P<0.05). In conclusion, ultrasonography combined with mammography can effectively improve the early diagnosis rate of breast cancer, however, the patient's age, birth status, and BMI may affect the results of ultrasonography and mammography. In clinical practice, it is necessary to determine the imaging results in combination with the actual situation of the patients to improve the diagnosis rate of breast cancer.
机译:探讨了超声和乳腺X线摄影在诊断和其他与乳腺癌相关的危险因素中的价值和相关性分析。收集2017年3月至2018年8月在滨州医科大学附属医院接受乳腺彩超和钼靶X线检查的1,473例患者,比较该患者的超声和乳腺X线摄影结果,并以病理活检为参考黄金标准来计算两种测试方法的价值以及联合诊断在乳腺癌中的价值。分析了与乳腺癌相关的危险因素。在1,473例患者中,超声检查发现387例乳腺癌患者,钼靶检查发现351例,综合诊断发现339例。病理活检后共诊断出314例乳腺癌。然而,在肿瘤大小,分期和BI-RADS等级方面存在显着差异(P <0.05)。超声检查与钼靶检查的诊断效果无显着差异(P> 0.05),而超声检查与钼靶检查相结合的诊断效果明显好于两次单项检查(P <0.05)。经逻辑回归分析后,住所地址,身高,血型,种族或受教育程度与乳腺癌之间没有显着相关性(P> 0.05)。然而,年龄,生育状况和BMI都是与乳腺癌相关的危险因素(OR> 1; P <0.05)。综上所述,超声结合乳腺X线摄影可以有效提高乳腺癌的早期诊断率,但是,患者的年龄,出生状况和BMI可能会影响超声和乳腺X线摄影的结果。在临床实践中,有必要结合患者的实际情况确定成像结果,以提高乳腺癌的诊断率。

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