钼靶X线、彩色多普勒超声对乳腺结节诊断的临床应用价值

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1、中国中西医结合影像学杂志2008年1o且箜鲞笙塑钼靶X线、彩色多普勒超声对乳腺结节诊断的临床应用价值蓝健君，郭依廷。，周琼，周志华(1．广东省广州市番禺区大石人民医院放射科，广东番禺511430；2．山东省枣庄市市立三院放射科，山东枣庄277102)[摘要]目的：评价钼靶x线与彩色多普勒超声(colorDopplerultrasonography，cDus)对乳腺结节诊断的临床应用价值。方法：对126例经钼靶x线、CDUS检查的乳腺结节资料进行分析比较，并与术后病理结果对照。结果：126例乳腺结节有76例良性病变，钼靶X线诊断正确66例

2、，CDUS诊断正确68例(x一0．07，Pd0．05)，钼靶X线+CDUS诊断正确71例。有50例恶性病变，钼靶x线诊断正确46例，超声诊断正确36例(一3．87，Pd0．05)，钼靶x线+CDUS诊断正确49例。结论：在乳腺结节良性病变诊断中，钼靶X线与CDUS无明显统计学差异，但对乳腺恶性肿块的检出，CR钼靶较CDUS有明显优势，二者联合诊断乳腺疾病的准确率高于两种方法单独使用，在乳腺疾病的检查中可以发挥优势互补的作用。[关键词]乳腺结节；钼靶x线；彩色多普勒超声检查[中图分类号]R737．9；R445．1；R816．4[文献标识码

3、]A[文章编号]1672—0512(2008)05—0358—04ThestudyoftheclinicalapplicationofCRmolybdenumtargetandcolorDopplerultrasonography(CDUS)inthediagnosisofbreastnodulesLANJian—“”，GUOYi—ting，ZHOUQiong，ela1．DepartmentofRadiology，DashiPeople'sHospitalofPan一yuDistrict，Guangzhou，511430。China．~

4、Abstract]Objective：ToevaluatetheclinicalvalueofCRmolybdenumtargetandcolorDopplerultrasonography(CDUS)inthediagnosisofbreastnodules．Methods：Comparativeanalysisof126patientswithbreastnodules，whichwerediagnosedbyCRmolybdenumtargetandCDUS．Andcontrastedwithsurgicalpathology．R

5、esults：Seventy-sixcasesofthe126patientswithbreastnoduleswerebenignlesions，ofwhich，66caseswerecorrectlydiagnosedbyCRmolybdenumtargetand68caseswerecorrectlydiagnosedbyCDUS(一0．07，P<0．05)，71caseswerecorrectlydiagnosedbyCRmolybdenumtargetandCDUS．Fiftycasesofthe126patientswith

6、breastnoduleswereofmalignantlesions，ofwhich，46caseswerecorrectlydiag—nosedbyCRmolybdenumtargetand36caseswerecorrectlydiagnosedbyCDUS(一3．87，Pd0．05)，49caseswerecor—rectlydiagnosedbyCRmolybdenumtargetandCDUS．Conclusion：ThereisnosignificantstatisticaldifferencebetweenCRmo—ty

7、bdenumtargetandCDUSinthediagnosisofbenignbreastnodules，butCRmolybdenumtargethasobviousadvantagesoverCDUSinthediagnosisofthemassofbreastcancer．TheaccuracyrateofbreastdiseasediagnosedbyCRmolybdenumtargetandCDUSisbetterthandiagnosedbyCRmolybdenumtargetorCDUSonly．CRmolybdenu

8、mtargetandCDUSiscomplementaryindiagnosisofbreastnodules．[Keywords]BreastNodules；CRmolybdenumtarget；Colo