摘要
目的探讨超声乳腺影像报告和数据系统(BI-RADS)分级对乳腺肿块的鉴别诊断价值。方法回顾性分析2015年6月~2017年6月景德镇市第一人民医院收治的628例乳腺肿块患者的临床资料,参照超声BI-RADS标准对患者进行病灶分级,选取100例BI-RADS分级≥3级的患者作为研究对象,以病理诊断结果为金标准,记录100例患者病灶中的良恶性比例,分析超声BI-RADS在BI-RADS分级≥3级患者中的诊断价值及超声BI-RADS的误诊情况,比较良性及恶性肿块的超声图像特征。结果超声BI-RADS分级<4级患者的灵敏度、特异度及准确度分别为0.00%、100.00%、100.00%;超声BI-RADS分级>4级患者的灵敏度、特异度及准确度分别为100.00%、0.00%、100.00%;超声BI-RADS分级为4级患者的灵敏度、特异度、准确度分别为100.00%、72.00%、76.67%。在100个病灶中,超声诊断为恶性,而病理结果诊断为良性的病灶为导管内乳头状瘤、腺病和纤维腺瘤。恶性肿块内部回声低、血供丰富、腋下淋巴结肿大占比高于良性肿块,形态规则、边界清晰、组织完整占比低于良性肿块,差异有统计学意义(P<0.05)。结论超声BI-RADS分级对乳腺肿块有较高的鉴别诊断价值,良性及恶性肿块超声表现差异较大,可为制定治疗方案提供有效指导,减少误诊,值得临床推广应用。
Objective To investigate the value of ultrasound breast imaging-reporting and data system(BI-RADS)classification in differential diagnosis of breast mass.Methods The clinical data of 628 patients with breast mass who admitted to the First People′s Hospital of Jingdezhen City from June 2015 to June 2017 were retrospectively analyzed.The ultrasound examination was performed,and the lesions of patients were classified according to ultrasound BI-RADS criteria.A total 100 patients with BI-RADS grade 3 and above were selected as the research objects,and the pathological diagnosis results were used as the gold standard.The benign and malignant proportions of 100 patients were recorded,and the diagnosis value of ultrasound BI-RADS in the patients with BI-RADS grade 3 and above and misdiagnosis of ultrasound BI-RADS was analyzed.The ultrasound image features of benign and malignant masses were compared.Results The sensitivity,specificity and accuracy of patients with ultrasound BI-RADS<grade 4 were 0.00%,100.00%and 100.00%.The sensitivity,specificity and accuracy of patients with ultrasound BI-RADS>grade 4 were 100.00%,0.00%,100.00%.The sensitivity,specificity and accuracy of patients with ultrasound BI-RADS grade 4 were 100.00%,72.00%,76.67%.Among 100 lesions,the lesions diagnosed as benign by ultrasound and malignant by pathology were intraductal papilloma,adenopathy,and fibroadenoma.The proportion of low internal echo,abundant blood supply and axillary lymph node enlargement of malignant masses were higher than those of benign masses,the proportion of regular morphology,clear border and complete tissue of malignant masses were lower than those of benign masses,and the differences were statistically significant(P<0.05).Conclusion Ultrasound BI-RADS classification has good differential diagnosis value for breast masses.The benign and malignant masses have large differences in ultrasound performance,it can provide effective guidance for the development of treatment plans and reduce misdiagnosis,which is worthy of clinical promotion and application.
作者
张燕
程天鹏
邱少辉
ZHANG Yan;CHENG Tian-peng;QIU Shao-hui(Department of Ultrasound,the First People′s Hospital of Jingdezhen City,Jiangxi Province,Jingdezhen333000,China;Department of Ultrasound,Jingdezhen Maternal and Child Health Care Hospital,Jiangxi Province,Jingdezhen333000,China)
出处
《中国当代医药》
2020年第36期126-128,共3页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(20204344)。
关键词
乳腺肿块
乳腺癌
乳腺影像报告和数据系统
Breast mass
Breast cancer
Breast imaging-reporting and data system
