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目的分析乳腺良性肿瘤临床超声诊断的最优经济组合方法及保健预防价值。方法回顾性分析2013年4月-2015年4月该院收治且经手术或组织病理证实为乳腺良恶性肿瘤的144例患者临床资料,所有患者术前彩超、超声弹性成像、钼靶X线及核磁共振检查资料完整,比较不同诊断方式及联合诊断检出率,与病理学结果对照,确立经济性最高的诊断方案,评估其在乳腺疾病保健预防中的指导价值。结果常规超声联合超声弹性成像、常规超声联合钼靶X线诊、超声弹性成像联合钼靶X线诊断符合率分别为92.4%、88.2%、87.5%,常规超声联合MRI诊断符合率为89.6%,其中超声联合超声弹性成像诊断符合率最高。结论在乳腺良恶性肿瘤的临床诊断中,超声检查费用低廉,适宜在基层筛查中推广。MRI费用相对较高,经济性欠缺,但诊断符合率高,适宜于高危人群筛查。而常规超声联合超声弹性成像整体经济性高,诊断符合率高,值得推广。
Objective To analyze the optimal economic combination method and the preventive value of health care in the diagnosis of benign breast neoplasms. Methods The clinical data of 144 patients admitted to our hospital from April 2013 to April 2015 were retrospectively analyzed. The clinical data of 144 patients with breast benign and malignant breast tumor confirmed by operation or histopathology were retrospectively analyzed. Preoperative ultrasonography, elastography, mammography, MRI data integrity, comparison of different diagnostic methods and the combined diagnosis of detection rate, and pathological results, establish the most economical diagnostic programs to assess their guidance in the prevention of breast disease. Results The coincidence rates of conventional ultrasound and EMT, conventional ultrasonography combined with molybdenum target X-ray and ultrasound elastography combined with mammography were 92.4%, 88.2% and 87.5% respectively. The coincidence rate of routine ultrasound and MRI was 89.6% Which ultrasound combined with ultrasonic elastography diagnosis with the highest rate. Conclusions In the clinical diagnosis of benign and malignant breast tumors, ultrasonography is inexpensive and suitable for general screening. MRI costs relatively high, lack of economy, but the diagnostic coincidence rate, suitable for high-risk screening. The conventional ultrasound combined with ultrasound elastography overall economy, high diagnostic accuracy, it is worth promoting.