乳腺导管内癌数字化摄影与超声诊断的对比研究

目的探讨数字化摄影与超声检查对乳腺导管内癌的诊断价值。方法回顾性分析53例乳腺导管内癌病例,所有病例都接受了数字化摄影及超声检查。数字化摄影和超声诊断分为可能恶性、性质待定、可能良性和阴性。对照手术和病理组织学检查结果,比较数字化摄影和超声检查的价值。结果数字化摄影和超声分别诊断可能恶性36例和33例,性质待定4例和5例,可能良性7例和10例,阴性6例和5例。数字化摄影和超声诊断的准确性分别是67.9%(36/53)和62.3%(33/53)。数字化摄影结合超声诊断的准确性是88.7%(47/53)。结论数字化摄影和超声诊断可用于乳腺导管内癌的诊断,联合应用可提高诊断的准确性。

A Comparative Study on Digital Mammography and Ultrasonography in Diagnosis of Breast Ductal Carcinoma

Objective To investigate the value of digital mammography and uhrasonography in diagnosis of breast ductal carcinoma. Methods 53 cases of ductal carcinoma were retrospectively analyzed. The digital mammography and uhrasonography were performed in all cases. The diagnosis of digital mammography and uhrasonography was divided into probably malignant, indeterminate, probably benign, and negative. According to surgical and histopathological outcomes, a comparative study on the value of digital mammo-graphy and uhrasonography was performed. Results There are 36 cases and 33 cases of probably malignant ,4 ca- ses and 5 cases of indeterminate ,7 cases and 10 cases of of probably benign ,6 cases and 5 cases of negative diagnosed by digital mammography and ultrasonography respectively. The accuracy of digital mammography and uhrasonography were 67.9% （ 36/53 ） and 62.3% （33/53） respectively. The accuracy of digital mammography associated with ultrasonography was 88.7% （47/53）. Conclusion Digital mammography and ultrasonography are valuable in the diagnosis of breast ductal carcinoma. The diagnostic accuracycan be improved by the combination of the two methods.