發(fā)布時(shí)間：2018-07-12 08:10

  本文選題：乳腺腫瘤 + 超聲檢查�。� 參考：《中國臨床醫(yī)學(xué)影像雜志》2017年11期

【摘要】：目的:探討超聲乳腺影像報(bào)告和數(shù)據(jù)系統(tǒng)(BI-RADS)在微小乳腺癌診斷中的臨床價(jià)值。方法 :回顧性分析超聲診斷為BI-RADS 3~5級的255例微小乳腺病灶的超聲征象描述、分級結(jié)果與病理結(jié)果。結(jié)果:255例病灶經(jīng)病理證實(shí)良性191例,惡性64例。超聲BI-RADS診斷微小乳腺癌的靈敏性、特異性、準(zhǔn)確性、陽性預(yù)測值(PPV)、陰性預(yù)測值(NPV)分別為89.06%、80.63%、82.75%、60.64%、95.65%。邊緣不光整、形態(tài)不規(guī)則、縱橫比≥1、內(nèi)部有微鈣化、內(nèi)部血流阻力指數(shù)(RI)≥0.7、后方回聲衰減、周圍組織改變等7個(gè)超聲征象在良惡性病灶中的差異具有統(tǒng)計(jì)學(xué)意義(P0.05),其中靈敏性較高的有邊緣不光整(82.81%)、形態(tài)不規(guī)則(85.94%),特異性較高的有縱橫比≥1(89.53%)、內(nèi)部有微鈣化(90.05%)、內(nèi)部血流RI≥0.7(92.67%)、后方回聲衰減(95.29%)、周圍組織改變(99.48%)。結(jié)論:超聲BI-RADS能較準(zhǔn)確的評估微小乳腺病灶的良惡性,有助于微小乳腺癌的的早期發(fā)現(xiàn)、早期診斷和早期治療。
[Abstract]:Objective: to evaluate the clinical value of ultrasound mammography report and data system (BI-RADS) in the diagnosis of small breast cancer. Methods: the ultrasonographic features, grading and pathological findings of 255 cases of small breast lesions diagnosed as BI-RADS 3 or 5 grade by ultrasound were analyzed retrospectively. Results among 255 cases, 191 cases were benign and 64 cases malignant. The sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) of ultrasound BI-RADS in the diagnosis of small breast cancer were 89.06 and 80.63 respectively. The edge was not only complete, but irregular, aspect ratio 鈮，

本文編號(hào)：2116525