乳腺彩超和乳腺钼靶筛查乳腺癌的价值研究

来源 :中国卫生工程学 | 被引量 : 0次 | 上传用户:dsfgsdfwe
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的探讨乳腺彩超和乳腺钼靶对社区不同年龄和病灶大小的乳腺癌患者筛查价值。方法对本市5个社区30岁及以上女性进行乳腺癌筛查。首先行乳腺彩超筛查,对可疑者再行乳腺钼靶检查,最终经手术病理证实乳腺病灶316例。其中良性病变182例,乳腺癌134例。将乳腺彩超、乳腺钼靶、两者联合检查与手术病理结局进行对照,评价其对不同大小病灶和年龄的乳腺癌患者诊断敏感度和特异性。结果根据超声检查测出的乳腺病灶长轴分为3组:A组(病灶长轴≤1 cm)62个,B组(病灶长轴1.1~2 cm)156个,C组(病灶长轴≥2.1 cm)98个。乳腺彩超对B组和C组诊断敏感度高于A组,差异有统计学意义(P<0.05);但在诊断特异性方面差异无统计学意义(P>0.05);A组乳腺钼靶检测敏感度高于乳腺彩超,差异有统计学意义(P<0.05);B组、C组联合检查的敏感度和特异性均高于乳腺钼靶、乳腺彩超,差异有统计学意义(P<0.05)。根据年龄分为2组:30~50岁组病灶206个,>50岁组病灶110个。30~50岁患者两者联合检查敏感度高于乳腺钼靶,但特异性降低,差异有统计学意义(P<0.05);>50岁患者乳腺钼靶特异性高于乳腺彩超和两者联合检查,差异有统计学意义(P<0.05);乳腺彩超对不同年龄组患者诊断敏感度和特异性差异无统计学意义(P>0.05);>50岁患者乳腺钼靶检测敏感度和特异性均高于30~50岁,差异有统计学意义(P<0.05)。结论乳腺钼靶诊断乳腺癌敏感度与年龄有关,而超声与年龄无关;乳腺钼靶与超声诊断敏感度和特异性均与病灶大小有关;两者联合检查可提升对不同病灶大小和不同年龄乳腺癌患者诊断的敏感度和特异性。 Objective To investigate the screening value of breast ultrasound and breast mammography in breast cancer patients of different age and size in community. Methods Breast cancer screening was performed on women aged 30 and over in 5 communities in this city. First line of breast color Doppler ultrasound screening of suspicious mammography again, and ultimately confirmed by surgical pathology of breast lesions in 316 cases. 182 cases of benign lesions, 134 cases of breast cancer. The breast ultrasonography, breast molybdenum target, the two combined examination and surgical pathological outcomes were compared to evaluate the different size lesions and age of breast cancer patients with sensitivity and specificity. Results According to the long axis of breast lesions detected by ultrasonography, there were 3 groups: 62 in group A (long axis≤1 cm), 156 in group B (long axis 1.1 ~ 2 cm), group C 2.1 cm) 98. The sensitivity of breast color Doppler ultrasound in group B and group C was higher than that in group A (P <0.05), but there was no significant difference in diagnostic specificity (P> 0.05) (P <0.05). The sensitivity and specificity of combined examination in group B and group C were higher than that in breast mammography and mammography (P <0.05), and the difference was statistically significant ). Divided into two groups according to age: 206 in the 30-50 age group and 110 in the> 50 age group. The joint detection sensitivity between the two groups was higher than that of breast mammography, but the specificity was lower, the difference was statistically significant (P <0.05). The mammographic specificity of mammography in patients> 50 years old was higher than that of mammography (P <0.05). There was no significant difference in the diagnostic sensitivity and specificity between the two groups (P> 0.05). The sensitivity and specificity of mammography in> 50 years Higher than 30 to 50 years old, the difference was statistically significant (P <0.05). Conclusion The sensitivity of breast mammography in diagnosis of breast cancer is related to age, but the ultrasound has no relationship with age. The sensitivity and specificity of breast mammography and ultrasound diagnosis are related to the size of the lesion. The combination of the two can improve the sensitivity of breast lesions of different sizes and ages Sensitivity and specificity of cancer diagnosis.
其他文献
在社会和经济发展过程中,各个领域的发展速度不断加快,企业生存和发展的压力也在不断加大,其中如何留住人才、如何优化人力资源管理等,已经成为众多企业面临的关键问题.在选
观点制造@罗昌平:《京华时报》动用如此大的资源对付竞争对手农夫山泉,这不是简单的舆论暴力,而是对第四权力的滥用。报馆在宣萱面前是弱者,但又对于个体与民企却是强权。更
Hofstede has identified four value dimensions that have a significant impact on behavior in all cultures.These dimensions are power distance,uncertainty avoidan
随着经济全球化的飞速发展,尤其是随着我国加入WTO进程的不断深化,众多国外高技术品牌纷纷涌入国门,利用其强大的技术优势、品牌优势、管理优势迅速抢占国内市场,给我国高技术企业的发展造成严重威胁。未来社会是知识经济的社会,作为知识载体的高技术企业在国民经济发展中占有越来越重要的地位。因此,在科技飞速发展的今天,如何快速建立强势品牌成为目前我国高技术企业面临的一项重要课题。本文采用规范研究和案例研究相结
Based on the demand of sintering/pelleting flue gas ultra-low emission,a semi-dry method using a spray dryer absorber (SDA) combined with O3 oxidation was propo
2006年10月通过的《中共中央关于构建社会主义和谐社会若干重大问题的决定》将“发展和谐劳动关系”作为构建和谐社会的一项重要任务。和谐的劳动关系是企业持续发展的前提,是
【摘要】本文对Sandrine Zufferey女士的最新语用学专著《语用习得:社会与认知视角》(ACQUIRING PRAGMATICS: Social and Cognitive Perspectives)进行了评介。该书首先回顾了语用学的发展历程,并着重从社会和认知两个角度阐述了语用习得研究中极具代表性的理论观点及其最新成就。全书脉络清晰,结构严谨,从专业角度给读者提供了大量具有建设性的语用
【摘要】随着系统功能语言学三大元功能之一的人际功能地不断发展,一种新的语篇分析方法——评价理论应运而生。评价理论诞生之初,主要应用于历史、文学、新闻语篇,后来逐渐扩展到政治语篇的分析,主要是对英文文本的分析,很少涉及到汉英对比研究。本文以评价理论为理论框架,对中国政府工作报告与美国国情咨文进行对比分析研究,旨在探究态度评价资源在两种政治文本中的分布规律,进一步探究此规律产生的原因,以期为语篇分析教
随着科技不断发展,互联网应用也越来越广泛,人们对于互联网网页的设计与美化的需求越来越大,要求也越来越高。国家的战略规划对于互联网的支持度也越来越大。在这样的背景下,各个
改革开放以来,我国中小企业得到了迅速发展,有力地支持了国民经济的持续进步,中小企业已成为中国经济发展的发动机。中小企业创新是中小企业生存与发展的原动力。但是就中小企业