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目的通过分析超声和钼靶在大规模体检中的漏诊、误诊病例,探讨超声和钼靶的应用价值。方法 7 025名正常女性接受超声和钼靶联合筛查,可疑病例通过手术获取病理结果,并与诊断结果对比。结果超声漏诊8例肿瘤患者,误诊为恶性病变72例;钼靶漏诊4例肿瘤患者,误诊为恶性病变220例;超声和钼靶同时漏诊2例肿瘤患者。结论超声和钼靶的误诊、漏诊受物理原理所限制,超声还受操作者经验的影响,两者联合可降低不利因素,提高恶性肿瘤的筛查率。
Objective To analyze the misdiagnosis and misdiagnosis of ultrasound and mammography in large-scale physical examination to explore the value of ultrasound and mammography. Methods 7 025 normal women were screened by ultrasound and molybdenum target. The suspicious cases were obtained pathological results by surgery and compared with the diagnostic results. Results Ultrasound missed 8 cases of cancer patients, misdiagnosed as malignant lesions in 72 cases; missed 4 cases of molybdenum tumor patients with cancer, misdiagnosed as malignant lesions in 220 cases; ultrasound and mammography missed two cases of cancer patients. Conclusion Misdiagnosis and misdiagnosis of ultrasound and mammography are limited by physical principles. Ultrasound is also influenced by the experience of the operator. The combination of the two can reduce unfavorable factors and improve the screening rate of malignant tumors.