临床外科杂志 ›› 2020, Vol. 28 ›› Issue (5): 464-466.doi: 10.3969/j.issn.1005-6483.2020.05.019

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彩超和钼靶检查对乳腺导管内乳头状瘤与导管内癌临床诊断的价值分析

  

  1. 郑州大学人民医院乳腺外科
  • 出版日期:2020-05-20 发布日期:2020-05-20

Value of color ultrasound and mammography in the diagnosis of intraductal papilloma and intraductal carcinoma of breast

  • Online:2020-05-20 Published:2020-05-20

摘要: 目的:分析彩超和钼靶影像学检查在乳腺导管内乳头状瘤(breast intraductal papilloma,BIP)与导管内癌(ductal carcinoma in situ,DCIS)检出时的临床诊断价值。方法:BIP病人69例、71个病灶,DCIS病人67例、67个病灶。分析彩超和钼靶检查阳性征象对BIP和DCIS的检出率,并评价其诊断价值。结果:彩超所提示的肿块伴钙化及单纯肿块型征象对于BIP检出率分别为5.63%、91.55%,对DCIS的检出率为89.55%、5.97%,而钼靶检查提示的两种阳性特点对于BIP检出率分别为60.56%、38.28%,对DCIS检出率为68.66%、31.34%。对阳性征象整体分析发现,在诊断BIP和DCIS上,钼靶与彩超比较,差异有统计学意义(P<0.05)。结论:诊断BIP和DCIS时,钼靶的检查价值应更加重视,二种检查方法相辅相成,同等重要。

关键词: 乳腺导管内乳头状瘤, 导管内癌, 彩超, 钼靶, 价值分析

Abstract: Objective:Analysis of the clinical diagnostic value of color Doppler ultrasound and molybdenum target imaging in the detection of BIP and DCIS.Methods:The color ultrasound,molybdenum target and pathological data of 141 patients were reviewed,including BIP(69 cases,71 lesions)and DCIS(67 cases,67 lesions).The detection rates of BIP and DCIS indicated by color ultrasound and molybdenum target were compared.Results:The detection rate of tumor with calcification and simple tumor type signs indicated by color ultrasound was 5.63% and 91.55% respectively for BIP,89.55% and 5.97% for DCIS,while the detection rate of two positive characteristics indicated by molybdenum target was 60.56% and 38.28% for BIP,68.66% and 31.34% for DCIS,In the overall analysis of positive signs,compared with color ultrasound.There were statistical differences in the diagnosis of BIP and DCIS(P<0.05).Conclusion:In the diagnosis of BIP and DCIS,more attention should be paid to the examination value of molybdenum target,but the two examinations complement each other and are equally important.

Key words: intraductal papilloma, ductal carcinoma in situ, color ultrasound, mammography, value analysis

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