钼靶摄影质量控制在乳腺疾病诊断中的作用

发布时间：2018-05-18 22:27

本文选题：乳房摄影术 + 质量控制　；参考：《放射学实践》2015年08期

【摘要】：目的:探讨乳腺钼靶摄影质量控制在乳腺疾病诊断中的价值。方法:将2069例行乳腺钼靶X线检查并经手术或穿刺活检证实的患者纳入本研究中,其中质量控制组1210例共1338个病灶,未行质量控制组(对照组)859例共942个病灶。将钼靶检查结果与病理结果进行对照分析,比较两组中乳腺钼靶检查的诊断敏感度、特异度及诊断符合率。结果:质量控制组中乳腺钼靶检查的诊断敏感度、特异度和诊断符合率分别为91.89%、88.99%和90.06%,对照组中分别为85.09%、86.17%和85.77%,两组中诊断敏感度和符合率的差异有统计学意义(P=0.002、0.002),特异度的差异无统计学意义(P=0.105)。结论:实行在乳腺钼靶摄影中实施质量控制后,对乳腺疾病的诊断敏感性和准确性均有提高。
[Abstract]:Objective: To explore the value of mammography quality control in the diagnosis of breast disease. Methods: 2069 cases of breast mammography and confirmed by surgery or biopsy were included in this study, of which 1210 cases with 1338 lesions in the quality control group and 859 cases without quality control group (control group) had 942 lesions. The diagnostic sensitivity, specificity and diagnostic coincidence rate of mammography in the two groups were compared with pathological results. Results: the diagnostic sensitivity, specificity and diagnostic coincidence rate of mammography in the quality control group were 91.89%, 88.99% and 90.06%, respectively 85.09%, 86.17% and 85.77% in the group, and the two groups were diagnosed respectively. The difference of sensitivity and coincidence rate was statistically significant (P=0.002,0.002), and the difference of specificity was not statistically significant (P=0.105). Conclusion: after the implementation of quality control in mammography, the sensitivity and accuracy of the diagnosis of breast disease were improved.
【作者单位】：南方医科大学人文与管理学院;广东省医学科学院广东省人民医院;南方医学大学南方医院;
【基金】：广州市科技计划科技攻关项目(2013J4300077)
【分类号】：R737.9;R730.44

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