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目的:探讨乳腺钼靶X片、高频彩超及其两者联合应用对提高健康体检者早期乳腺癌诊断的意义。方法:选择健康体检中发现或可疑乳腺癌后经手术病理证实为乳腺癌的136例女性患者,对其术前彩超及X线钼靶检查结果与病理结果进行对比分析。结果:高频彩超及X射线钼靶诊断符合率分别为82.35%(112/136)、81.62%(111/136),两者间差异无统计学意义(P>0.05);高频彩超与X射线钼靶联合的诊断符合率为90.44%(123/136),与单纯超声或钼靶摄片相比,差异均有统计学意义(P<0.05)。结论:彩色超声与X线钼靶联合应用可以提高诊断早期乳腺癌的灵敏度及准确性,降低乳腺癌的漏误诊率。
Objective: To investigate the significance of breast mammography X-ray, high-frequency color Doppler ultrasound and their combination in improving the diagnosis of early stage breast cancer in healthy subjects. Methods: One hundred and sixty-six female patients with breast cancer confirmed by pathological examination after suspicious or suspected breast cancer were selected from the physical examination, the preoperative ultrasonography and X-ray mammography were compared with the pathological results. Results The coincidence rates of high frequency color Doppler ultrasound and X-ray mammography were 82.35% (112/136) and 81.62% (111/136) respectively, with no significant difference (P> 0.05) The diagnostic coincidence rate of radiotherapy and mammography was 90.44% (123/136), which was significantly different from that of ultrasound or mammography alone (P <0.05). Conclusion: The combination of color ultrasound and mammography can improve the sensitivity and accuracy of diagnosis of early breast cancer and reduce the misdiagnosis rate of breast cancer.