中国冶金工业医学杂志

钼靶X射线影像在乳腺疾病诊断中的应用价值

作者：王刚张英

分类号：R 665.8

出版年,卷(期):页码：2023,40(1):13-14

摘要：

摘要：目的探讨钼靶X射线影像在乳腺疾病诊断中的应用价值。方法选取2021年7月—2022年6月于我院治疗的90例乳腺疾病患者，均采用超声和钼靶X射线检查。以病理检查结果作为金标准，观察比较两种检查对乳腺疾病的良、恶性病变检出率、诊断准确率、灵敏度及特异性；对比两种检查的检查时间及费用情况。结果钼靶X射线检查乳腺的恶性病变检出率、诊断准确率、灵敏度及特异性均高于超声检查，组间比较差异均有统计学意义（χ2＝5.051、21.745、18.240、4.286，均P＜0.05）；钼靶X射线检查耗时短于超声检查，但检查费用略高于超声检查，组间比较差异均有统计学意义（t＝5.237、74.672，均P＜0.05）。结论钼靶X射线在乳腺疾病的诊断中具有良好的应用价值，能够准确鉴别疾病的病变性质、类型等，对临床治疗方案的制定具有指导作用。

Abstract：Objective To explore the value of mammography in the diagnosis of breast diseases. Methods From July 2021 to June 2022, ninety patients with breast disease were examined by ultrasound and mammography. Using pathological examination results as the gold standard, the detection rate, diagnostic accuracy, sensitivity and specificity of benign and malignant breast diseases were observed and compared. The inspection time and cost of the two methods were compared. Results Mammography showed higher detection rate, diagnostic accuracy, sensitivity and specificity of malignant lesions than ultrasound （χ2＝5.051, 21.745, 18.240, 4.286, all P＜0.05）. The time of mammography was shorter, but the examination cost was slightly higher than that of ultrasound examination, and the differences between the groups were statistically significant （t＝5.237, 74.672, all P＜0.05）. Conclusion In the diagnosis of breast diseases, mammography has a good application value, can accurately diagnose the nature of breast lesions, the type of the disease, and has a guiding role in the formulation of clinical treatment.

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