摘要
目的:探讨分析PET-CT、临床触诊与B超在诊断乳腺癌腋窝淋巴结转移的意义与影响。方法:回顾性分析比较我们院近两年来收治的80例确诊为乳腺癌腋窝淋巴结转移的患者,分别进行PET-CT、临床触诊与B超检查,结合术后病理检查,分析比较PET-CT、临床触诊与B超检查诊断乳腺癌腋窝淋巴结转移的灵敏度、特异度、准确率以及阳性预测值。结果:PET-CT的灵敏度、特异度、准确率、阳性预测值分别为92.31%、64.29%、86.25%、90.91%。临床触诊是四项指标分别为77.27%、57.14%、73.75%、89.47%。而B超的分别为80.30%、57.14%、76.25%、89.83%。PET-CT的灵敏度、特异度、准确率均明显高于临床触诊和B超检查,具有统计学意义(P<0.05)。阳性预测值则三种方法无明显差异(P>0.05)。而临床触诊和B超检查结果,虽然B超检查的各项结果均高于或等于临床触诊的检查结果,但无明显差异,没有统计学意义(P>0.05)。结论:PET-CT较其他辅助诊断比较而言的灵敏度好、特异度高、准确率高,是三种方法中相对较好的一种。
Objective： To discuss and analyse PET-CT,clinical palpation and B-ultrasonography’s value and influence on the diagnosis of breast cancer axillary lymph node metastasis.Methods：Retrospective analyse and compare 80 cases of those who have been treated at our hospital in the past two years and have been diagnosed as breast cancer axillary lymph node metastasis patients,proceeded PET-CT,clinical palpation and B-ultrasonography examinations to them respectively,combined with postoperative histopathologic examination,analysed and compared PET-CT,clinical palpation and B-ultrasonography’s sensitivity,specificity,accurate rate and positive predictive value to the diagnosis of breast cancer axillary lymph node metastasis.Results：PET-CT’s sensitivity,specificity,accurate rate and positive predictive value are 92.31%,64.29%,86.25%,90.91% respectively.Clinical palpation’s four indexes are 77.27%,57.14%,73.75%,89.47% respectively.While B-ultrasonography’s are 80.30%,57.14%,76.25%,89.83% respectively.PET-CT’s sensitivity,specificity,accurate rate and positive predictive value are obviously higher than clinical palpation’s and B-ultrasonography’s,it has statistics meaning（P0.05）.With regard to the positive predictive value,there was no significant difference among these three methods（P0.05）.When compared clinical palpation and B-ultrasonography,though B-ultrasonography’s kind of results are higher or equal to clinical palpation’s examination results,there was no obvious difference between these two methods,it has no statistics meaning（P0.05）.Conclusions：Compared with other auxiliary diagnosis methods,PET-CT’s sensitivity is better,specificity is higher,accurate rate is higher,it is a relatively good method among these three methods.
出处
《中国医药导刊》
2013年第3期451-452,共2页
Chinese Journal of Medicinal Guide
关键词
乳腺癌腋窝淋巴结转移
PET-CT、临床触诊与B超
意义与影响
Breast cancer axillary lymph node metastasis
PET-CT
clinical palpation and B-ultrasonography
Value and influence
