全视野数字化乳腺摄影联合彩色多普勒超声在乳腺癌诊断中的应用价值
Medical Journal of National Defending Forces in Northwest China(2017)
Abstract
目的:探讨全视野数字化乳腺摄影(FFDM)联合彩色多普勒超声(CDUS)在乳腺癌诊断中的应用价值.方法:回顾性分析102例经病理证实的乳腺癌患者的临床资料,均经FFDM及CDUS检查,将结果进行比较.结果:102例乳腺癌患者中,FFDM诊断84例,阳性率为82%;CDUS诊断73例,阳性率为71%;两种检查联合诊断95例,阳性率达93%,诊断检出率显著提高,两者均为阴性10例.病理分型显示,浸润性导管癌86例,导管原位癌9例,Paget's病3例,乳腺淋巴瘤2例,浸润性小叶癌2例,癌肉瘤1例.CDUS对典型乳腺癌及中晚期乳腺癌诊断准确率高;FFDM不仅对典型乳腺癌诊断明确,尤其对一些特殊类型及较早期乳腺癌亦具有较高的诊断价值.结论:FFDM与CDUS联合应用对乳腺癌诊断阳性率较高,二者间差异无统计学意义,且二者互补可明显提高诊断阳性率.
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Key words
breast cancer,mammography,ultrasonic,positive rate,sensitivity
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