彩色多普勒超声联合全数字化X线检查对乳腺癌老年患者诊断准确性的影响

发布时间：2018-01-17 13:39

本文关键词：彩色多普勒超声联合全数字化X线检查对乳腺癌老年患者诊断准确性的影响　出处：《中国老年学杂志》2016年17期 　论文类型：期刊论文

【摘要】：目的观察和评估彩色多普勒超声联合全数字化X线检查对乳腺癌老年患者诊断准确性的影响。方法回顾性分析该院2013年4月至2015年4月术后经病理检查确诊为乳腺癌的患者60例、乳腺良性肿瘤患者40例的相关资料。患者术前均使用全数字化X线检查和彩色多普勒超声检查。并将患者术后的病理诊断情况与两种检查方法的检查结果进行对比分析,统计两种检查方法单用和联合使用的情况下诊断乳腺癌的准确性。结果 100例患者全数字化X线检查的诊断准确性为83.00%,灵敏度为83.33%,特异度为82.50%,阳性预测值为87.72%,阴性预测值为76.74%;经彩色多普勒超声检查,诊断准确性为79.00%,灵敏度为80.00%,特异度为77.50%,阳性预测值为84.21%,阴性预测值为72.09%;两者联合检查的诊断准确性、灵敏度、特异度、阳性预测值、阴性预测值分别提升至91.00%,91.67%,90.00%,93.22%,87.80%。结论彩色多普勒超声与全数字化X线检查联合诊断乳腺癌,能有效弥补全数字化X线检查对肿块囊实性鉴别和血供情况判断不敏感的缺点,提高诊断的整体准确性,降低误诊率和漏诊率。
[Abstract]:Objective to observe and evaluate the effect of color Doppler ultrasound combined with digital X-ray examination on the accuracy of diagnosis in elderly patients with breast cancer. Methods from April 2013 to April 2015, the pathological changes of the elderly patients with breast cancer were retrospectively analyzed. Sixty patients with breast cancer were examined. Data of 40 patients with benign breast neoplasms. All patients were examined by digital radiography and color Doppler ultrasound before operation. The pathological diagnosis of patients after operation and the results of two kinds of examination methods were carried out. Comparative analysis. Results the diagnostic accuracy of 100 patients with breast cancer by digital X-ray examination was 83.00%. The sensitivity was 83.33, the specificity was 82.50, the positive predictive value was 87.72 and the negative predictive value was 76.74; The diagnostic accuracy, sensitivity, specificity and positive predictive value were 79.00, 80.00,77.50 and 84.21%, respectively. The negative predictive value was 72.09; The diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive value were increased to 91.00% and 91.67% respectively. Conclusion the diagnosis of breast cancer by color Doppler ultrasound combined with digital X-ray examination can effectively compensate for the insensitivity of digital X-ray examination to the diagnosis of cystic solid tumor and blood supply. Improve the overall accuracy of diagnosis, reduce the rate of misdiagnosis and missed diagnosis.
【作者单位】：海南医学院附属医院超声科;海南医学院附属医院放射科;海南医学院附属医院乳腺外科;
【基金】：海南省医药卫生科研项目(1501032071A2001)
【分类号】：R445.1;R737.9;R730.44
【正文快照】： 目前,临床上主要将全数字化X线检查作为妇女乳腺疾病的筛查工具。但由于全数字化X线检查对肿块囊实性鉴别和血供情况判断不敏感,容易产生误诊〔1,2〕。我院将其与彩色多普勒超声联合对乳腺癌进行检查,旨在观察两者联合对乳腺癌患者的诊断准确性的影响。1资料与方法1.1一般资料

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