探讨 CDFI与 URTE联合应用对早期乳腺癌的诊断价值

目的：探讨联合应用彩色多普勒血流显像（ CDFI）与实性弹性组织成像（ URTE）诊断早期乳腺癌的价值。＇方法选取2012年9月至2014年12月在浙江萧山医院接受治疗的乳腺恶性肿瘤患者105例，所有患者均采用CDFI与URTE进行早期诊断，并将诊断结果与病理结果作对照分析。比较CDFI、URTE及CDFI＋URTE联合应用三种诊断方式的诊断符合率及误诊率。结果 CDFI与病理诊断的符合率（68．57％）、URTE与病理诊断的符合率（69．52％）均明显低于CDFI＋URTE与病理诊断的符合率（94．29％），差异有统计学意义（χ2值分别为10．65、12．18，均P＜0．05）。 CDFI的误诊率（26．67％）、URTE的误诊率（27．62％）均明显高于CDFI＋URTE的误诊率（0．95％），差异有统计学意义（χ2值分别为6．37、7．17，均P＜0．05）。结论对早期乳腺癌患者采用CDFI与URTE联合应用的诊断方法，可有效降低误诊率，提高其敏感性与准确性。

Diagnostic value of combining CDFI and URTE in early breast cancer

Objective To investigate the diagnostic value of combining color doppler flow imaging (CDFI) and ultrasonic real-time tissue elastography ( URTE) in early breast cancer .Methods From September 2012 to December 2014 in Zhejiang Xiaoshan Hospital 105 cases of breast cancer received treatment .All patients underwent URTE and CDFI for early diagnosis , and the diagnostic results were compared to pathological results.Coincidence rate and misdiagnosis rate were compared among CDFI , URTE and CDFI +URTE methods.Results Pathology diagnosis coincidence rates of CDFI (68.57%) and URTE (69.52%) were significantly lower than that of CDFI +URTE (94.29%), and the difference was statistically significant (χ2 value was 10.65 and 12.18, respectively, both P<0.05).Misdiagnosis rates of CDFI ( 26.67%) and URTE ( 27.62%) were significantly higher than that of CDFI +URTE ( 0.95%) with statistically significance (χ2 value was 6.37 and 7.17, respectively, both P<0.05).Conclusion For patients with early stage breast cancer combined application of CDFI and URTE can effectively reduce misdiagnosis rate and improve sensitivity and accuracy .