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目的:使用临床触诊、超声波的方式来分别诊断和测试乳腺癌腋窝淋巴结转移的准确度、灵敏度和特异度。方法:采取双盲法对107例(110侧)行乳腺癌根治术患者的术前临床触诊、超声波检查和术后病理检查后的检查结果进行对比和分析。结果:在110例测试乳腺癌根治术的患者中,腋窝淋巴结转移的患者一共有83例,临床触诊检测出的为69例,超声诊断出的为79例,就灵敏度、特异度和诊断契合率而言,临床触诊分别为67.3%、50.1%和63.5%,超声诊断分别为87.7%、78.5%和85.6%。结论:临床触诊检查腋窝淋巴结的灵敏度和诊断契合率均小于超声检测,由此可知超声检测可以作为腋窝淋巴结转移诊断中的医院的常规检查项目。
OBJECTIVE: To diagnose and test the accuracy, sensitivity and specificity of axillary lymph node metastasis in breast cancer using clinical palpation and ultrasound. Methods: The double-blind method was used to compare and analyze the preoperative clinical palpation, ultrasonography and postoperative pathological examination in 107 patients (110 sides) with radical mastectomy. RESULTS: Of the 110 patients who underwent radical mastectomy, 83 were axillary lymph node metastases, 69 were detected by palpation, 79 were diagnosed by ultrasound, and sensitivity, specificity, and diagnostic fit The rates of clinical palpation were 67.3%, 50.1% and 63.5% respectively, and the ultrasound diagnosis was 87.7%, 78.5% and 85.6% respectively. Conclusion: Sensitivity and diagnostic coincidence rate of axillary lymph nodes in clinical palpation examination are less than those of ultrasound examination. Therefore, it can be seen that ultrasound can be used as routine examination in the diagnosis of axillary lymph node metastasis.