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目的超声与钼靶及二者联合应用对乳腺良恶性病变的诊断分析比较。方法 2009年11月至2011年1月北京顺义区妇幼保健院乳腺外科根据超声、钼靶及二者联合检查将217例乳腺良恶性病变的病人按照Ⅰ~Ⅲ级划分为倾向良性。Ⅳ~V级划分为倾向恶性两组。分析超声与钼靶二者的相关性与一致性,然后根据病理结果分别进行配对比较3组的灵敏度与特异度和一致性。结果首先超声与钼靶有很好的相关性和一致性。但二者在检测阳性率上差异有统计学意义。配对比较3组与病理结果一致性上联合检查优于超声与钼靶,灵敏度和特异度也是联合检查优于超声与钼靶。结论超声与钼靶联合检查可以提高乳腺良恶性疾病的诊断准确性,并且在二者不一致时应以超声为主,钼靶为辅。
Objective To compare the diagnostic value of ultrasound and mammography in the diagnosis of benign and malignant breast lesions. Methods From November 2009 to January 2011, Breast Surgery of Shunyi District Maternal and Child Health Hospital of Beijing based on ultrasound, mammography and the combined examination of 217 patients with benign and malignant breast lesions according to grade Ⅰ ~ Ⅲ were divided into benign. Ⅳ ~ V grade divided into two groups of malignant tendency. The correlation and agreement between ultrasound and mammography were analyzed. Then the sensitivity, specificity and consistency of the three groups were compared according to the pathological results. Results First, ultrasound and molybdenum target has a good correlation and consistency. However, the difference between the two in detecting positive rate was statistically significant. The comparisons between the three groups and the pathological findings were superior to ultrasound and mammography in the joint examination. Sensitivity and specificity were also better than ultrasound and mammography in the combined examination. Conclusion The combined ultrasound and mammography examination can improve the diagnostic accuracy of benign and malignant breast diseases. When the two are inconsistent, ultrasound should be the main method, supplemented by molybdenum target.