彩色多普勒超声联合钼靶X线检查在社区高危妇女乳腺癌筛查中的价值分析

目的分析在社区高危妇女乳腺癌筛查中应用彩色多普勒超声联合钼靶X线检查的价值。方法选取广东省东莞市东部片区的13 560例适龄妇女作为研究对象,针对其中的高危人群,均给予彩色多普勒超声和钼靶X线检查进行乳腺癌筛查,对彩色多普勒超声、钼靶X线检查及联合检查的结果进行分析。结果观察3种检查方式的诊断结果,发现本次研究通过事前超声检测共筛查出91例高危妇女,病理诊断确诊有68例乳腺癌患者,联合诊断有68例乳腺癌患者,诊断准确率为100. 00%,单纯彩色多普勒超声准确率为86. 72%,误诊率为14. 28%。比较3种检查方式的阳性预测值,发现联合检查>彩色多普勒超声>钼靶X线检查,两两比较组间差异且具有统计学意义(P <0. 05)。结论彩色多普勒超声联合钼靶X线检查在社区高危妇女乳腺癌筛查中的价值较高,可有效提高社区高危妇女乳腺癌筛查率。

Value analysis of color Doppler ultrasound combined with mammography in screening breast cancer among high-risk women in community

Objective To analyze the value of color Doppler ultrasound combined with mammography in the screening of breast cancer among high-risk women in the community. Methods A total of 13 560 women of the appropriate age in this community ( the eastern part of Dongguan City,Guangdong Province) were selected as subjects. For high-risk groups,color Doppler ultrasound and mammography were performed for breast cancer screening. The results of ultrasound,mammography and joint examination were analyzed. Results The diagnosis results of three examination methods were observed. In this study,91 high-risk women were screened by pre-existing ultrasound. 68 cases of breast cancer were diagnosed by pathological diagnosis,and 68 cases of breast cancer were diagnosed. The diagnostic accuracy was 100. 00%,the accuracy of simple color Doppler ultrasound was 86. 72%,and the misdiagnosis rate was 14. 28%. Comparing the positive predictive values of the three examination methods,joint examination > color Doppler ultrasound > mammography examination,pairwise comparison found that P < 0. 05,the difference between the groups was significant and statistically significant. Conclusion Color Doppler ultrasound combined with mammography has a higher value in breast cancer screening among high-risk women in the community,which can effectively improve the screening rate of breast cancer among high-risk women in the community.