周彩虹，曾亚琴江苏省盐城市妇幼保健院，江苏盐城　224001

超声与钼靶检查对乳腺疾病良恶性诊断的对比分析

周彩虹，曾亚琴
江苏省盐城市妇幼保健院，江苏盐城224001

目的 对比超声与钼靶检查对乳腺疾病良恶性诊断价值。方法 方便选取2014年1月—2015年12月，医院门诊体检中心、乳腺科就诊的110例患者作为研究对象，进行X线钼靶、超声诊断，以手术、活检、随访诊断确诊。结果恶性82例，联合诊断敏感度、特异度、阳性预测值、阴性预测值、符合率高于钼靶、超声诊断，差异具有统计学意义（P＜0.05）；超声、钼靶一致性系数k=0.587，差异有统计学意义，P＜0.05，属于中度一致；浸润型导管癌与浸润性小叶癌、不典型增生X线钼靶表现差异具有统计学意义（P＜0.05）；超声表现良恶性形态学、边缘特点分布差异具有统计学意义（P＜0.05）；超声诊断良性病变SR（0.89±0.45）、SWV（2.78±1.10）m/s，恶性者（0.48±0.20）、（4.11±2.43）m/s，差异具有统计学意义（P＜0.05）。结论 单纯使用超声与钼靶检查对乳腺疾病良恶性诊断效用并无显著差异，但超声弹性成像技术潜在的价值较高，应进一步挖掘，两者定性诊断互补性强。

乳腺；定性诊断；超声；X线钼靶

［Abstract］Objective To compare the value of ultrasonography and mammography in the diagnosis of benign and malignant breast diseases.Methods Convenient selection from January 2014 to December 2015，110 cases of hospital outpatient medical center，breast department were studied as the research object，the X-ray mammography，ultrasound diagnosis，surgery，biopsy，follow-up diagnosis.Results 82 cases of malignant tumors with diagnostic sensitivity，specificity，positive predictive value，negative predictive value，the coincidence rate was higher than mammography，ultrasound diagnosis，the difference was statistically significant（P＜0.05）；ultrasound，molybdenum target consistency coefficient k=0.587，P＜0.05，belonging to moderate consistency；significant infiltration type ductal carcinoma and invasive lobular carcinoma，atypical hyperplasia of mammography showed difference（P＜0.05）；ultrasonography of benign and malignant morphology，the distribution characteristics of edge differences was statistically significant（P＜0.05）；ultrasound diagnosis of benign lesions in SR（0.89±0.45），SWV（2.78±1.10）m/s malignant ones.（0.48±0.20），（4.11±2.43）m/s，the difference was statistically significant（P＜0.05）. Conclusion The simple use of ultrasound and mammography for breast disease diagnosis of benign or malignant utility had no significant difference，but ultrasound elasticity imaging technology potential higher value should be further excavation. Both qualitative diagnosis are highly complementary.

［Key words］Breast；Qualitative diagnosis；Ultrasound；Molybdenum target

表1　钼靶与超声定性诊断乳腺疾病效用（%）

表2　前3肿乳腺疾病X线钼靶表现［n（%）］

乳腺癌是女性最常见的恶性肿瘤，占全身恶性肿瘤的7%～10%，发病率呈快速上升趋势，在北京、上海等大城市发病率已接近欧美发达国家［1］。与其他绝大多数恶性肿瘤一样，乳腺癌患者生存期与肿瘤分期有关，晚期乳腺癌中位生存期约为2～3年，而早期乳腺癌10年生存率可达50%，及早诊断乳腺癌直接影响患者预后［2］。……