摘要
目的探讨高频超声结合BI-RADS分级在乳腺良恶性病变诊断的应用价值。方法选取2016年3月～2017年10月东莞市石碣镇参与"两癌"筛查乳腺体检者2874例,应用超声检查双乳情况。对2874例乳腺体检者进行随访,其中经穿刺检查或手术切除肿物组织病理检查发现,恶性肿瘤17例。以病理诊断结果为对照,评估高频超声结合BI-RADS分级在乳腺良恶性病变诊断的应用价值。结果乳腺恶性病变的高频超声高评分的例数高于良性病变,差异有统计学意义(P<0.05);乳腺恶性病变BIRADS评分Ⅳ级例数高于良性病变,差异有统计学意义(P<0.05);高频超声评分与BI-RADS分级诊断乳腺病变的灵敏度、特异度、准确率、阳性预测值及阴性预测值之间比较,差异无统计学意义(P>0.05);两种方法联合诊断时,其灵敏度、特异度、准确率、阳性预测值及阴性预测值均较单独高频超声评分诊断、单独BI-RADS分级诊断有不同程度的提高,其中两种方法联合诊断时灵敏度和阳性预测值与两种方法单独诊断比较,差异有统计学意义(P<0.05)。结论高频超声检查与BI-RADS评分分级在鉴别诊断乳腺肿块良恶性上具有较高的临床价值,但仍存在一定局限性,两者联合应用在一定程度上能提高乳腺良恶性病变的诊断准确率,是较为理想的检查手段。
Objective To investigate the value of high frequency ultrasound combined with BI-RADS classification in the diagnosis of benign and malignant breast lesions. Methods A total of 2874 patients who underwent "two cancers" screening for breast examinations from March 2016 to October 2017 in Shijie town were enrolled. A total of 2874 breast examinations were followed up. Among them, 17 cases of malignant tumors were found by histopathological examination of puncture or surgical resection. The pathological diagnosis was used as a control to evaluate the value of high frequency ultrasound combined with BI-RADS classification in the diagnosis of benign and malignant breast lesions. Results The number of high-frequency ultrasound high scores of malignant breast lesions was significantly higher than that of benign lesions, the difference was statistically significant (P<0.05). The number of grade IV of BI-RADS scores of breast malignant lesions was higher than that of benign lesions,the difference was statistically significant(P<0.05);there was no significant difference between the high-frequency ultrasound score and the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of BI-RADS graded diagnosis of breast lesions (P>0.05).When combined with the two methods, the sensitivity, specificity, accuracy, positive predictive value and negative predictive value were improved to different degrees compared with the diagnosis of high-frequency ultrasound score alone and BI-RADS graded diagnosis alone. The time sensitivity and positive predictive value were compared with the two methods alone,the difference was statistically significant (P<0.05). Conclusion High-frequency ultrasonography and BI-RADS scoring have high clinical value in the differential diagnosis of benign and malignant breast masses, but there are still some limitations. The combination of the two can improve the diagnosis of benign and malignant breast lesions to a certain extent. The rate is an ideal means of inspection.
作者
黄冬玲
刘奕仕
黄雪韵
梁玉玲
杜婉燕
HUANG Dong-ling;LIU Yi-shi;HUANG Xue-yun;LIANG Yu-ling;DU Wan-yan(Department of Ultrasound,Shiji Hospital,Dongguan 523290,Guangdong,China;Department of Radiology,Shiji Hospital,Dongguan 523290,Guangdong,China;Department of Obstetrics and Gynecology,Shiji Hospital,Dongguan 523290,Guangdong,China;Department of Physical Examination,Shiji Hospital,Dongguan 523290,Guangdong,China)
出处
《医学信息》
2019年第10期67-69,共3页
Journal of Medical Information
基金
东莞市科技局发展计划医疗卫生一般项目(编号:2018507150111460)
关键词
乳腺肿瘤
高频超声
BI-RADS分级
Breast neoplasms
High frequency ultrasound
BI-RADS classification
