首页|彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值

彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值

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目的 探讨彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值.方法 选取74例疑似乳腺癌患者,均进行钼靶X线检查与彩色多普勒超声检查,比较钼靶X线检查与彩色多普勒超声检查的影像学特征.以病理检查结果为金标准,分析钼靶X线检查与彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值.结果 病理检查结果显示,乳腺癌52例,乳腺良性病变22例.彩色多普勒超声检查诊断乳腺癌的结果与病理检查结果的一致性(Kappa=0.840)高于钼靶X线检查(Kappa=0.580);彩色多普勒超声检查诊断乳腺癌的准确度、特异度、灵敏度、阳性预测值、阴性预测值均高于钼靶X线检查.结论 彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值较高,可清晰反映各类病灶的影像学特征,值得临床推广应用.
Differential diagnostic value of color Doppler ultrasound examination in benign and malignant breast lesions
Objective To investigate the differential diagnostic value of color Doppler ultrasound examination in be-nign and malignant breast lesions.Method A total of 74 suspected breast cancer patients were selected and underwent molybdenum target X-ray and color Doppler ultrasound examinations,the imaging characteristics of molybdenum target X-ray and color Doppler ultrasound examinations were compared.Using pathological examination results as the gold standard,the differential diagnostic value of molybdenum target X-ray and color Doppler ultrasound examination for be-nign and malignant breast lesions were analyzed.Result The pathological examination showed that there were 52 pa-tients of breast cancer and 22 patients of benign breast lesions.The consistency between the color Doppler ultrasound ex-amination and pathological examination in the diagnosis of breast cancer(Kappa=0.840)was higher than the molybde-num target X-ray examination(Kappa=0.580).The accuracy,specificity,sensitivity,positive predictive value,and nega-tive predictive value of color Doppler ultrasound examination in the diagnosis of breast cancer were higher than those of molybdenum target X-ray examination.Conclusion Color Doppler ultrasound examination has high differential diagnos-tic value for benign and malignant breast lesions and can clearly reflect the imaging characteristics of various lesions,which is worthy of clinical promotion and application.

breast cancermolybdenum target X-ray examinationcolor Doppler ultrasound examinationdifferen-tial diagnosis

宋媛、魏世荣、杨晓宇

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陕西省康复医院超声科,西安 710065

宝鸡市妇幼保健院超声医学科,陕西 宝鸡 721000

乳腺癌 钼靶X线检查 彩色多普勒超声检查 鉴别诊断

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(3)