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全数字化乳腺摄影联合彩色多普勒超声在乳腺肿块鉴别诊断中的价值
引用本文:李家尧,王岩,包勇,何振宇. 全数字化乳腺摄影联合彩色多普勒超声在乳腺肿块鉴别诊断中的价值[J]. 现代医院, 2011, 11(9): 12-14. DOI: 10.3969/j.issn.1671-332X.2011.09.005
作者姓名:李家尧  王岩  包勇  何振宇
作者单位:华南肿瘤学国家重点实验室,中山大学肿瘤防治中心,广东广州,510060
基金项目:广东省科技计划社会发展项目
摘    要:
目的旨在评估全数字化乳腺摄影(full-field Digital Mammography,FFDM)联合彩色多普勒超声(Color Doppler Flow Imaging,CDFI)在乳腺肿块诊断中的临床应用价值。方法收集2008年1月~2010年12月就诊的符合入组条件的394例患者共400个肿块,分别在手术前进行FFDM及CDFI检查,将检查结果与术后病理进行比较。结果对于恶性肿块,FFDM和CDFI检查的敏感性、特异性、阳性预测值、阴性预测值和准确率分别为84.07%vs.80.53%、87.36%vs.83.90%、89.62%vs.91.00%、80.85%vs.76.84%和85.50%vs.82.00%,FFDM联合超声检查的敏感性、特异性、阳性预测值、阴性预测值和准确率分别为88.49%、80.45%8、5.47%8、4.34%和85.00%。结论两种检查方法各有优势,两者联合应用可提高敏感性和阴性预测值,但并没有明显提高准确率。

关 键 词:乳腺疾病  全数字化乳腺摄影  彩色多普勒超声

THE CLINICAL VALUE OF FULL-FIELD DIGITAL MAMMOGRAPHY AND COLOR DOPPLER FLOW IMAGING IN DIAGNOSIS OF THE MASS IN THE BREAST
Affiliation:LI Jiayao,WANG Yan,BAO Yong,et al State Key Laboratory of Oncology in Southern China∥Cancer Center,Sun Yat-sen University,Guangzhou City,Guangdong Province 510060 PRC
Abstract:
Objective To evaluate the clinical value of full-field digital mammography(FFDM) and color doppler flow imaging(CDFI)combined application in diagnosis of the mass in the breast. Methods 394 patients with 400 mass in the breast were examined with FFDM and CDFI before operation between Jan 2008 and Dec 2010.At the same time all cases were diagnosed by histopathologic biopsy.And then,the results were compared. Results The specificity,sensitivity,positive predictive value,negative predictive value and accuracy ...
Keywords:Breast disease  Full-field digital mammography(FFDM)  Color doppler flow imaging(CDFI)  
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