乳腺钼靶X线摄影和超声诊断乳腺导管内癌的对照研究

目的：探讨乳腺钼靶 X 线摄影和超声诊断乳腺导管内癌症的对照研究。方法回顾性分析2013年1月至2013年10月在我院住院治疗的43例乳腺导管内癌，且均经过病理确诊。对43例患者分别行乳腺钼靶 X 线超声摄影和超声诊断，对比两种检查方案的结果。结果乳腺钼靶 X 线超声摄影结果显示：丛样微小钙化点患者18例，比例为41.86%，边界呈现不规则的高密度影患者为15例，比例为34.88%，随后造影下 X 线检查发现10例患者导管充盈缺损，比例是23.26%。超声检查结果则是边界与周边组织部清晰以及不规则实性肿块患者为11例，比例是25.58%，而边界清晰的规则肿块则为9例，比例是20.93%，囊性肿块为4例，比例是9.3%。可知乳腺钼靶 X 线超声诊断符合率为76.74%（33/43），而超声诊断符合率仅为55.81%（24/43），差异有统计学意义（P ﹤0.05）。结论乳腺钼靶 X 线超声摄影相比于超声对于乳腺导管内癌的诊断符合率更高，临床检查时当联合两者优势，提高确诊率。

Comparative study of mammography and ultrasound in the diagnosis of breast ductal carcinoma

Objective：To investigate the symptoms of mammography and ultrasound in the diagnosis of breast ductal cancer. Methods：Retrospective analysis was made from 2013 January to 2013 October in the treatment of 43 cases of breast ductal carcinoma pathologically confirmed in our hospital. The 43 patients underwent X-ray mammography and ultrasonogra-phy in the diagnosis of sonographic examination,results of two kinds of scheme were compared. Results：Breast molybde-num target X-ray photography showed ultrasonic cluster like small calcification in 18 cases,the ratio was 41. 86% ,an ir-regular high density shadow boundary in 15 cases,the ratio was 34. 88% ,then X-ray findings of 10 patients were compared with catheter filling defect,the ratio was 23. 26% . Ultrasound examination was the boundary with the surrounding tissue, clear and irregular solid mass in 11 cases,the ratio was 25. 58% ,and the rules clear boundary mass in 9 cases,the ratio was 20. 93% ,and cystic mass in 4 cases,the ratio was 9. 3% . The breast molybdenum target X-ray ultrasound diagnosis coincidence rate was 76. 74% ,and ultrasound diagnosis coincidence rate was 55. 81% ,which showed significant difference （P ﹤ 0. 05）. Conclusion：Compared with breast molybdenum target,X-ray photography in ultrasound diagnosis of ultra-sound for breast ductal carcinoma has a higher rate,and improves the diagnosis rate when combined with the advantages of both in clinical examination.