摘要
目的:观察超声、钼靶、血清学在乳腺癌筛查中的协同作用.方法:选取乳腺癌确诊患者 80 例(恶性组)、乳腺良性病变者 50例(良性组),均行乳腺超声、钼靶及血清肿瘤标志物检测,评价联合诊断效能.结果:恶性组超声形态不规则、边缘不清晰、不均匀低回声、纵横比>1、血流信号丰富、钙化占比,钼靶毛刺征、不规则肿块影、边界不清晰、分叶征、钙化灶占比及血清CA125、CA153、CEA高于良性组(P＜0.05);超声、钼靶、血清学指标联合检查的敏感度、特异度、准确度分别为 95.00%、68.00%、84.62%.结论:超声、钼靶与血清学指标联合检查可提高诊断效能.
Abstract
Objective:To observe the synergistic effects of ultrasound,molybdenum target and serology on the screening of breast cancer.Methods:80 patients with breast cancer(malignant group)and 50 patients with benign breast lesions(benign group)were selected.All patients underwent breast ultrasound,molybdenum targetand detection of serum tumor markers,and the efficiency of combined diagnosis was evaluated.Results:The proportions of irregular ultrasound morphology,unclear edge,uneven low echo,Aspect ratio>1,rich blood flow signal and calcification,proportions of molybdenum target spicule sign,irregular mass shadow,unclear boundary,lobulation sign and calcified foci and levels of serum CA125,CA153 and CEA in malignant group were higher than those in benign group(P<0.05).The sensitivity,specificity and accuracy were 95.00%,68.00%,and 84.62%of combined ultrasound,molybdenum target and serological indicators.Conclusion:Ultrasound,molybdenum target combined withserological indicators can improve the diagnostic efficiency.
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