钼靶X线摄影和彩色多普勒超声对早期乳腺癌诊断价值的对比分析

目的探讨钼靶X线摄影和彩色多普勒超声（CDUS）对早期乳腺癌的诊断价值，提高早期乳腺癌的检出率。方法对45例早期乳腺癌和20例乳腺良性病变患者均行两侧X线摄影和CDUS并与病理结果进行对照。结果在45例早期乳腺癌中，钼靶X线摄影诊断早期乳腺癌40例，其敏感性和特异性分别为84．5％和90．0％，准确性为86，2％；CDUS诊断早期乳腺癌38例，其敏感性和特异性分别为77．8％和85．0％，准确性为80．0％。综合影像诊断早期乳腺癌43例，其敏感性和特异性分别为91．2％和90．0％，准确性为90.8％。结论X线摄影和CDUS联合应用，可提高早期乳腺癌的检出率。

Study of mammography and color Doppler ultrasound in diagnosis of early breast cancer

Objective To study the diagnostic value of mammography and color Doppler ultrasound in early breast cancer and to evaluate their diagnostic accuracy. Methods Forty-five patients with breast cancer and 20 patients with benign breast masses, proved pathologically, were checked by mammography, color Doppler ultrasound. Results Mammography demonstrated breast cancer in 40 cases, the sensitivity and specificity were 84.5% and 90.0%, respectively, with the accuracy of 86.2% ; Color Doppler ultrasound revealed breast cancer 38 cases, the sensitivity, specificity and accuracy were 77.8%, 85.0%and 80.0% ;When ultrasound and mammography were combined together, the sensitivity, specificity and accuracy were 91.2%, 90.0% and 90.8 %. Conclusion Mammography combined with color Doppler ultrasound can increase the diagnostic sensitivity and accuracy of early breast cancers.