中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
27期
3280-3282
,共3页
吴猛%周如海%王海燕%周微霞%宋芫
吳猛%週如海%王海燕%週微霞%宋芫
오맹%주여해%왕해연%주미하%송원
乳腺肿瘤%超声检查%自动全容积成像%灵敏度%特异度%ROC曲线
乳腺腫瘤%超聲檢查%自動全容積成像%靈敏度%特異度%ROC麯線
유선종류%초성검사%자동전용적성상%령민도%특이도%ROC곡선
Breast neoplasms%Ultrasonography%Automated breast volume scanner%Sensitivity%Specificity%ROC curve
目的：探讨超声自动全容积成像（ ABVS）与常规二维超声对乳腺肿块良恶性鉴别的价值。方法选取2012年11月-2013年9月于宁波市鄞州人民医院门诊检查发现乳腺肿块的女性患者98例，同时进行常规二维超声及ABVS扫查，对检查发现的病灶进行组织病理学检测，比较两种超声诊断方法对于乳腺肿块良恶性鉴别的价值。分别计算其受试者工作特征（ROC）曲线下面积及灵敏度、特异度、准确度。结果98例患者共119个乳腺肿块，穿刺活检或术后病理得到75个肿块为良性（63.03%），44个肿块为恶性（36.97%）。ABVS恶性肿块检出率〔86.36%（38/44）〕高于常规二维超声〔68.18%（30/44）〕，差异有统计学意义（χ2=4.141，P=0.042）。常规二维超声与ABVS检测恶性肿块的ROC曲线下面积分别为0.881和0.931，差异有统计学意义（ z=2.572，P=0.019）。常规二维超声及ABVS检出恶性肿块病理类型比较，差异无统计学意义（χ2=2.895，P=0.235）。ABVS“火山口征”诊断恶性肿块的灵敏度为65.91%，特异度为100.00%，准确度为87.39%。ABVS“火山口征”诊断浸润性导管癌的灵敏度为100.00%，诊断浸润性小叶癌的灵敏度为70.00%，诊断导管原位癌的灵敏度为50.00%。结论 ABVS能够为乳腺肿块的良恶性临床评估提供更多线索，“火山口征”能够提高超声检测方法对乳腺恶性肿块的检出率，有较高的临床应用价值。
目的：探討超聲自動全容積成像（ ABVS）與常規二維超聲對乳腺腫塊良噁性鑒彆的價值。方法選取2012年11月-2013年9月于寧波市鄞州人民醫院門診檢查髮現乳腺腫塊的女性患者98例，同時進行常規二維超聲及ABVS掃查，對檢查髮現的病竈進行組織病理學檢測，比較兩種超聲診斷方法對于乳腺腫塊良噁性鑒彆的價值。分彆計算其受試者工作特徵（ROC）麯線下麵積及靈敏度、特異度、準確度。結果98例患者共119箇乳腺腫塊，穿刺活檢或術後病理得到75箇腫塊為良性（63.03%），44箇腫塊為噁性（36.97%）。ABVS噁性腫塊檢齣率〔86.36%（38/44）〕高于常規二維超聲〔68.18%（30/44）〕，差異有統計學意義（χ2=4.141，P=0.042）。常規二維超聲與ABVS檢測噁性腫塊的ROC麯線下麵積分彆為0.881和0.931，差異有統計學意義（ z=2.572，P=0.019）。常規二維超聲及ABVS檢齣噁性腫塊病理類型比較，差異無統計學意義（χ2=2.895，P=0.235）。ABVS“火山口徵”診斷噁性腫塊的靈敏度為65.91%，特異度為100.00%，準確度為87.39%。ABVS“火山口徵”診斷浸潤性導管癌的靈敏度為100.00%，診斷浸潤性小葉癌的靈敏度為70.00%，診斷導管原位癌的靈敏度為50.00%。結論 ABVS能夠為乳腺腫塊的良噁性臨床評估提供更多線索，“火山口徵”能夠提高超聲檢測方法對乳腺噁性腫塊的檢齣率，有較高的臨床應用價值。
목적：탐토초성자동전용적성상（ ABVS）여상규이유초성대유선종괴량악성감별적개치。방법선취2012년11월-2013년9월우저파시은주인민의원문진검사발현유선종괴적녀성환자98례，동시진행상규이유초성급ABVS소사，대검사발현적병조진행조직병이학검측，비교량충초성진단방법대우유선종괴량악성감별적개치。분별계산기수시자공작특정（ROC）곡선하면적급령민도、특이도、준학도。결과98례환자공119개유선종괴，천자활검혹술후병리득도75개종괴위량성（63.03%），44개종괴위악성（36.97%）。ABVS악성종괴검출솔〔86.36%（38/44）〕고우상규이유초성〔68.18%（30/44）〕，차이유통계학의의（χ2=4.141，P=0.042）。상규이유초성여ABVS검측악성종괴적ROC곡선하면적분별위0.881화0.931，차이유통계학의의（ z=2.572，P=0.019）。상규이유초성급ABVS검출악성종괴병리류형비교，차이무통계학의의（χ2=2.895，P=0.235）。ABVS“화산구정”진단악성종괴적령민도위65.91%，특이도위100.00%，준학도위87.39%。ABVS“화산구정”진단침윤성도관암적령민도위100.00%，진단침윤성소협암적령민도위70.00%，진단도관원위암적령민도위50.00%。결론 ABVS능구위유선종괴적량악성림상평고제공경다선색，“화산구정”능구제고초성검측방법대유선악성종괴적검출솔，유교고적림상응용개치。
Objective Tocompareandanalyzethediagnosticvalueofautomatedbreastvolumescanner(ABVS)and two-dimensionalultrasoundindeterminingthepathologicalnatureofbreastmasses.Methods 98caseswithbreastmassesad-mitted to Yinzhou People's Hospital from November 2012 to September 2013 were selected and given two-dimensional ultrasound and ABVS. The lesions were given histopathological test,and the value of the two methods in diagnosing breast masses was com-pared.TheareaunderROC,sensitivity,specificityandaccuracywerecalculated.Results 119breastmassesweredetectedout of the 98 patients,and 75 masses(63. 03%)were benign and 44(36. 97%)were malignant based on needle biopsy or postop-erative pathological diagnosis. The malignancy detection rate of ABVS〔86. 36%(38/44)〕was higher than the two-dimensional ultrasound〔68. 18%(30/44)〕,showing statistically significant differences(χ2 =4. 141,P=0. 042). The area under ROC by two-dimensional ultrasound and ABVS was 0. 881 and 0. 931 respectively,showing statistically significant difference( z=2. 572,P=0. 019). The pathological types of malignancies detected by two-dimensional ultrasound and ABVS showed no sta-tistically significant difference(χ2 =2. 895,P=0. 235). The crater phenomenon in coronal plane of ABVS could help diagnose breast masses,and the sensitivity,specificity,accuracy were 65. 91%,100. 00% and 87. 39% respectively. The sensitivity of crater phenomenon in coronal plane of ABVS in diagnosing invasive ductal carcinoma was 100. 00%,the sensitivity in diagnosing invasive lobular carcinoma was 70. 00%,and the sensitivity in diagnosing ductal carcinoma in situ was 50. 00%.℅onclusion ABVScouldoffermorecluesfortheclinicaldiagnosisofbreastmassesinidentifyingmalignantcases.Thecraterphenomenonim-proves the detection rate of malignant masses,which has good clinical value.
