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目的探讨彩色多普勒超声与X线钼靶摄影对乳腺癌诊断的实用价值。方法回顾性分析98例乳腺小肿块的术前超声表现与X线钼靶摄影表现,并进行对照分析。结果 98例术后病理均证实为乳腺癌。超声诊断恶性73例,良性9例,可疑16例,诊断符合率74.5%,在可疑病例中10例经X线钼靶诊断为恶性。X线钼靶诊断恶性为79例,良性11例,可疑8例,诊断符合率80.6%,在可疑病例中5例经超声诊断为恶性。二者联合诊断符合率上升为86.7%。结论超声与X线钼靶检查各有优缺点,且具有互补性,二者联合应用可提高小乳腺癌的诊断准确性。
Objective To explore the diagnostic value of color Doppler ultrasound and mammography in the diagnosis of breast cancer. Methods A retrospective analysis of 98 cases of small breast tumors by preoperative ultrasonography and mammography X-ray performance and control analysis. Results 98 cases of postoperative pathology confirmed breast cancer. Ultrasound diagnosis of malignant 73 cases, benign in 9 cases, suspicious in 16 cases, the diagnostic coincidence rate of 74.5%, in 10 cases of suspected cases of malignant X-ray mammography diagnosis. Malignant X-ray mammography diagnosis of 79 cases, 11 cases of benign, suspicious in 8 cases, the diagnostic coincidence rate of 80.6%, in 5 cases of suspected cases by ultrasound diagnosis of malignancy. The coincidence rate of the two diagnosis rose to 86.7%. Conclusion Ultrasound and molybdenum X-ray examination have advantages and disadvantages, and are complementary, the combination of the two can improve the diagnostic accuracy of small breast cancer.