彩色多普勒超声与乳腺钼靶X射线影像在乳腺原位癌早期诊断中的应用

袁浩

（陕西省安康市旬阳县医院，陕西 安康，725700）

浏览次数：145次 下载次数：399次

摘要：

目的 研究彩色多普勒超声与乳腺钼靶X射线影像在乳腺原位癌早期诊断中的应用。方法 选择安康市旬阳县医院在2011年3月至2015年3月收治的60例乳腺原位癌患者为研究对象，对所有患者的临床资料进行回顾性分析。根据不同诊断方法将其分成A组和B组，分别为31例和29例。A组利用彩色多普勒超声诊断，B组利用乳腺钼靶X 射线影像诊断。依据乳腺影像学报告、数据系统分级标准（BIRADS）与超声诊断（BIRADS US）进行分级，通过Cohen kappa统计方法对两种方法的分级符合度进行评估。结果 彩色多普勒超声与乳腺钼靶X射线影像经BIRADS分级后，≧4级的结果基本一致，其中23例分级结果完全一致，差异无统计学意义（P>0.05）。结论 彩色多普勒超声与乳腺钼靶X 射线影像结果经BIRADS 和BIRADS US分级后，分级的结果具有较高的一致性，表明二者对乳腺原位癌临床早期诊断均具有较高的应用价值，值得临床应用并 推广。

关键词：彩色多普勒超声；乳腺钼靶X 射线影像；乳腺原位癌

中图分类号：R445.1文献标志码：A文章编号：2096-1413(2017)15-0133-02

Application of color doppler ultrasonography and molybdenum target X-ray images in the early diagnosis of breast carcinoma in situ
YUAN Hao
(Xunyang County Hospital, Ankang 725700, China)

ABSTRACT: Objective To study the application of color doppler ultrasonography (CDU) and molybdenum target X-ray images (MTXI) in early diagnosis of breast carcinoma in situ. Methods Sixty cases of patients with breast carcinoma in situ in Xunyang County Hospital from March 2011 to March 2015 were selected as the study subjects and randomly divided into group A of 31 cases and group B of 29 cases. Patients in the group A and group B were examined with CDU and MTXI respectively. The classification was performed on the basis of the BIRADS，BIRADS US and mammography  reporting. The grading conformity degree of the two methods were evaluated according to statistical approach Cohen kappa. Results After classified with BIRADS, the results showed that, ≧4 level of CDU and MTXI were basically the same, with 23 cases consistented with classified results, the difference was not significant (P>0.05). Conclusion The classification results of CDU and MTXI possesses high consistency and more application value in early diagnosis of breast carcinoma in situ, which indicates they could be widely promoted in clinical practice.
KEYWORDS: color doppler ultrasonography; molybdenum target X-ray images; breast carcinoma in situ

参考文献：
[1] 高雅军,马祥君,张宏伟,等.彩色多普勒超声及乳腺钼靶X 射线影像在乳腺原位癌早期诊断的对比分析[J].中华妇幼临床医学杂志:电 子版,2012,8(1):43-46.
[2] 聂耀钢.彩色多普勒超声及乳腺钼靶X 射线影像在乳腺原位癌早期诊断的对比分析[J].世界最新医学信息文摘:连续型电子期刊,2016,16(48):192.
[3] 罗成静.乳腺钼靶与超声诊断乳腺原位癌伴早期浸润的影像学特点比较分析[J].山西医药杂志,2015,8(10):1115-1116.
[4] 于婷芹.彩色多普勒超声检查及乳腺钼靶X 射线影像在乳腺原位癌中的诊断价值[J].中国医药指南,2016,14(18):136-137.
[5] 康鑫崴.彩色多普勒超声检查及乳腺钼靶X 射线影像在乳腺原位癌中的诊断价值[J].中国保健营养,2016,26(3):63.
[6] 邹雪鸣,孙芳芳,徐立江,等.彩色多普勒超声在乳腺检查中的诊断价值及临床应用[J].中国医药导报,2013,10(26):108-110,113.
[7] 程志坚,危成波,周芳,等.彩色多普勒超声联合数字钼靶X 线对不同级别乳腺导管原位癌的应用价值[J].中国医药指南,2013,11(23):1,3.


[8] 杨蕾,李华,梁会泽,等.彩色多普勒超声检查对女性乳腺恶性病变的诊断价值[J].医学综述,2013,19(14):2613-2614.
[9] WAI ES,LESPERANCE ML,ALEXANDER CS.Predictors of local recurrence in a population-based cohort of women with ductal carcinoma in situ treated with breast conserving surgery alone[J].Ann Surgi Oncol, 2011,18(1):119-124.
[10] 张秉宜,张郁林,韩玲,等.高频彩超及X线钼靶检查对乳腺原位 癌早期诊断价值的对照分析[J].中国临床医学影像杂志,2015,26(1):14-17.