乳腺B超与钼靶检查在乳腺癌筛查中的应用价值比较

目的：比较乳腺B超和钼靶检查在乳腺癌筛查中的价值。方法：回顾性分析82例乳腺癌患者的乳腺超声与钼靶检查结果,并与手术活检病理结果对照分析。结果：乳腺超声和钼靶的诊断敏感性分别为79.27%（65/82）、81.71%（67/82）,两者比较差异无统计学意义（P〉0.05）。乳腺B超在绝经前乳腺癌患者中的诊断敏感性高于钼靶（79.55%vs 52.28%,P〈0.05）,而在绝经后患者中乳腺B超与钼靶的敏感性差异无统计学意义（84.21%vs 86.84%,P〉0.05）。乳腺超声与钼靶的联合诊断敏感性为92.68%（76/82）,与单纯钼靶X线或B超检查相比,差异均有统计学意义（P〈0.01）。结论：乳腺B超的诊断敏感性高于钼靶,乳腺B超在我国能否作为乳腺癌普查的首选方法值得进一步研究。

The Comparison between Ultrasonography and Mammography for the Screening of Breast Cancer

Objective：To compare the diagnostic value of ultrasonography and mammography for breast cancer.Method：The ultrasonography and mammography results of 82 breast cancer patients who have underwent biopsy for pathologic diagnosis were retrospectively analyzed.Result： The sensitivity of ultrasonography and mammography were respectively 79.27%（65/82） and 81.71%（67/82）, and there was no significant difference between the two groups（P〉0.05）.When mammography was combined with ultrasonography, the diagnostic accuracy raised markedly to 92.68%（76/82）（P〈0.01）.Conclusion：The sensitivity of ultrasonography is higher than mammography for breast cancer screening.Weather the ultrasonography could be the preferred method for breast cancer screening in our country is worth further research.