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目的 提高早期乳腺癌的诊断水平。方法 回顾分析了我院拟诊乳腺癌病人的诊治情况 ,所有病例均病理证实。结果 临床、彩超和 X线的灵敏度 (Se)、特异度 (Sp)、准确性 (Ac)、阳性预告值 (PPV)和阴性预告值 (NPV)分别为 78.7%、5 8.9%、74.8%、88.8%、39.8% ,92 .5 %、74.4%、88.9%、93.7%、70 .1% ,80 .9%、71.4%、78.7%、91.7%、47.4%。恶性和良性肿瘤血流Vmax有显著差异 (P <0 .0 5 ) ,RI、PI有极显著差异 (P <0 .0 0 1)。结论 各检查方法的阴性预告值低 ,手术活检、微创活检是避免漏、误诊和确诊早期乳腺癌最可靠的方法 ,临床密切的随诊是不可缺少的
Objective To improve the diagnosis of early breast cancer. Methods Retrospective analysis of our hospital diagnosed breast cancer patients diagnosis and treatment, all cases were pathologically confirmed. Results The sensitivity, specificity, accuracy, PPV and NPV were 78.7%, 59.9% and 74.8% for clinical, color Doppler ultrasonography and X-ray respectively. 88.8%, 39.8%, 92.5%, 74.4%, 88.9%, 93.7%, 70.1%, 80.9%, 71.4%, 78.7%, 91.7%, 47.4%. The Vmax of malignant and benign tumors were significantly different (P <0.05), RI and PI were extremely different (P <0.01). Conclusion The negative predictive value of each test method is low. Surgical biopsy and minimally invasive biopsy are the most reliable methods to avoid missed, misdiagnosed and diagnosed early stage breast cancer. Clinically close follow-up is indispensable