彩色多普勒超声与钼靶Ｘ 线诊断乳腺癌的对比分析

目的：探讨彩色多普勒超声及乳腺钼靶X线在乳腺癌诊断中的优势和价值。方法对经术后病理证实的38例乳腺癌患者进行回顾性分析，比较彩超和钼靶X线的诊断结果。结果彩超组检出乳腺癌34例，漏诊4例；钼靶X线组检出乳腺癌32例，漏诊6例，彩超组对肿块的显示率高于钼靶X线组，两组比较差异无统计学意义（P＞0．05）；对肿块大小、边缘毛刺征的检出率比较，两组比较差异无统计学意义（P＞0．05）；彩超组对血管和淋巴结的检出率明显高于钼靶X线组，钼靶X线组对微钙化的检出率明显高于彩超组，差异均有统计学意义（P＜0．05）。结论彩超和钼靶X线在乳腺癌诊断中起着重要作用，二者各有优势，有机地结合起来，将明显提高乳腺癌诊断的准确性。

A comparative analysis of color Doppler ultrasound and mammography x-ray in diagnosis of breast cancer

Objective To discuss the advantages and value of color Doppler ultrasound and X-ray mammography in the diagnosis of breast cancer. Methods Thirty-eight cases of breast cancer pathologically confirmed in our hospital were retrospectively analyzed,and the diagnostic results of ultrasound and molybdenum target X-ray were compared. Results 34 cases were detected in breast ultrasound group, and 4 cases missed;32 cases were detected in mammography X-ray group of breast cancer,and 6 cases missed. Ultrasound group showed a higher rate of mass than mammography X-ray group,and there was no significant difference between the two groups(P>0. 05). There was no significant difference in tumor size and the detection rate of edge levy burr between the two groups(P>0. 05). The blood vessels and lymph node detection rate in ultrasound group was significantly higher than that of mammography X-ray group,microcalcifications detection rate in mammography X-ray group was significantly higher than that in ultrasound group,and the difference was statistically significant(P<0. 05). Conclusion Ultrasound and mammography X-ray play an important role in the diagnosis of breast cancer,and both have their own advanta-ges. If organically combined,they will significantly improve the accuracy of the diagnosis of breast cancer.