乳腺病高频钼靶X线与病理诊断对比研究

目的　评价高频钼靶X线摄像对乳腺病定性诊断价值 ,提高乳腺病的术前诊断水平。方法　对 13 9例乳腺病人实施高频钼靶X线摄像 ,并与术后病理结果对照。结果　X线诊断的敏感性、特异性、准确性分别为 91.43 %、95.65%和 93 .53 % ,阳性似然比为 2 1.0 3 ,阴性似然比为 0 .0 9。阳性预测值为 95.52 % ,阴性预测值为 91.67%。假阳性率和假阴性率分别为 4.3 %和 8.6%。结论　高频钼靶乳腺照相可以显示绝大多数乳腺恶性病变特征 ,有很高的定性诊断价值 ,值得临床推广应用。

A Comparative Study of Mammography and Pathology on 139 Cases of the Breast Lesions

Objective To evaluate the diagnostic value of the mammography and to raise the level of preoperative diagnosis.Methods The mammography of 139 cases were analyzed and the result was compared with that of pathology.Results The sensitivity was 91.43%, the specificity was 95.65%, the positive predictive value was 95.52%, the negative predictive value was 91.67%; the positive likelihood ratio was 21.03, and the negative likelihood ratio was 0.09; the false positive value and the false negative value were 4.3% and 8.6% respectively.Conclusion The signs of the most malignancy of breast can be shown by mammography. And the technique has very high value of the determinative diagnosis to be applied further.