中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
2期
166-168
,共3页
乳腺疾病%超声检查%超声造影
乳腺疾病%超聲檢查%超聲造影
유선질병%초성검사%초성조영
Breast diseases%Ultrasonography%Contrast-enhanced ultrasound
目的 探讨常规超声、超声造影微血管增强显像及两者联合对乳腺恶性病变的诊断价值.方法 收集152例乳房单发肿块病例,术前行常规超声、超声造影微血管增强显像,术后均行常规病理检查,通过与术后病理对照,分析常规超声、超声造影微血管增强显像及两者联合对乳腺恶性病变诊断的敏感性、特异性、阴性预测值、阳性预测值、准确性,ROC曲线下面积、95％可信区间.结果 超声造影微血管增强显像较常规超声在诊断敏感性、特异性、阳性预测值、阴性预测值、准确性上均有不同程度的提高(P =0.002),而两者联合又较单一检查更能提高恶性肿瘤的检出率(常规超声同两者联合比较,P =0.002；超声造影同两者联合比较,P =0.000),增加了ROC曲线下面积(P =0.000).结论 常规超声和超声造影微血管增强显像联合,具有很好的优势互补性,可提高乳腺恶性肿瘤的早期检出率.
目的 探討常規超聲、超聲造影微血管增彊顯像及兩者聯閤對乳腺噁性病變的診斷價值.方法 收集152例乳房單髮腫塊病例,術前行常規超聲、超聲造影微血管增彊顯像,術後均行常規病理檢查,通過與術後病理對照,分析常規超聲、超聲造影微血管增彊顯像及兩者聯閤對乳腺噁性病變診斷的敏感性、特異性、陰性預測值、暘性預測值、準確性,ROC麯線下麵積、95％可信區間.結果 超聲造影微血管增彊顯像較常規超聲在診斷敏感性、特異性、暘性預測值、陰性預測值、準確性上均有不同程度的提高(P =0.002),而兩者聯閤又較單一檢查更能提高噁性腫瘤的檢齣率(常規超聲同兩者聯閤比較,P =0.002；超聲造影同兩者聯閤比較,P =0.000),增加瞭ROC麯線下麵積(P =0.000).結論 常規超聲和超聲造影微血管增彊顯像聯閤,具有很好的優勢互補性,可提高乳腺噁性腫瘤的早期檢齣率.
목적 탐토상규초성、초성조영미혈관증강현상급량자연합대유선악성병변적진단개치.방법 수집152례유방단발종괴병례,술전행상규초성、초성조영미혈관증강현상,술후균행상규병리검사,통과여술후병리대조,분석상규초성、초성조영미혈관증강현상급량자연합대유선악성병변진단적민감성、특이성、음성예측치、양성예측치、준학성,ROC곡선하면적、95％가신구간.결과 초성조영미혈관증강현상교상규초성재진단민감성、특이성、양성예측치、음성예측치、준학성상균유불동정도적제고(P =0.002),이량자연합우교단일검사경능제고악성종류적검출솔(상규초성동량자연합비교,P =0.002；초성조영동량자연합비교,P =0.000),증가료ROC곡선하면적(P =0.000).결론 상규초성화초성조영미혈관증강현상연합,구유흔호적우세호보성,가제고유선악성종류적조기검출솔.
Objective To discuss the diagnostic value of regular ultrasonic combined with ultrasonography micro-vessel enhanced presentation for breast malignant disease.Methods 152 patients with single breast tumour were collected,they were examined by regular ultrasonic,ultrasonography micro-vessel enhanced presentation before operation and received regular pathology after operation.The diagnostic sensitivity,specificity,negative predictor,positive predictor,accuracy,area under ROC curve,95 ％ reliable interval of regular ultrasonic,ultrasonography micro-vessel enhanced presentation and the combination for breast malignant disease were analyzed.Results Ultrasonography micro-vessel enhanced presentation is better than regular ultrasonic in the diagnostic sensitivity,specificity,negative predictor,positive predictor,accuracy (P =0.002).The combination of regular ultrasonic and ultrasonography microvessel enhanced presentation could improve the detection rate of breast malignant disease(regular ultrasonic compared with combination,P =0.002 ; ultrasonography micro-vessel enhanced presentation compared with combination,P =0.000) and increase area under ROC curve (P =0.000).Conclusion Regular ultrasonic combined with ultrasonography micro-vessel enhanced presentation has complementary advantages and can increase early detection rate for breast malignant disease.
