中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2013年
23期
1833-1835
,共3页
杨敏%刘芳%顾小宁%蔡有利%王萤萤%周玮珺
楊敏%劉芳%顧小寧%蔡有利%王螢螢%週瑋珺
양민%류방%고소저%채유리%왕형형%주위군
乳腺疾病%超声检查,多普勒,彩色%诊断
乳腺疾病%超聲檢查,多普勒,綵色%診斷
유선질병%초성검사,다보륵,채색%진단
Breast diseases%Ultrasonography,Doppler,color%Diagnosis
目的 探讨乳腺影像报告数据系统(BI-RADS)超声分级和高频彩色多普勒超声(CDFI)评分诊断乳腺病变的价值.方法 对首都医科大学附属北京世纪坛医院超声科2011年3月至2012年12月136例乳腺结节患者108个乳腺结节进行CDFI超声评分和BI-RADS超声分级诊断,依据穿刺活检和手术病理结果进行对比分析,计算两者诊断乳腺良恶性病变的敏感性、特异性、准确性、阳性预测值及阴性预测值.结果 108个乳腺结节病理证实良性65个(60.2%),恶性43个(39.8%);BI-RADS超声分级和CDFI超声评分诊断乳腺良恶性病差异无统计学意义(P>0.05).结论 BI-RADS超声分级和CDFI超声评分诊断乳腺病变均具有较高的临床应用价值,而BI-RADS超声分级为临床提供了规范化和标准化的影像数据报告,更有利于指导临床医师对乳腺病变的正确判断和积极治疗.
目的 探討乳腺影像報告數據繫統(BI-RADS)超聲分級和高頻綵色多普勒超聲(CDFI)評分診斷乳腺病變的價值.方法 對首都醫科大學附屬北京世紀罈醫院超聲科2011年3月至2012年12月136例乳腺結節患者108箇乳腺結節進行CDFI超聲評分和BI-RADS超聲分級診斷,依據穿刺活檢和手術病理結果進行對比分析,計算兩者診斷乳腺良噁性病變的敏感性、特異性、準確性、暘性預測值及陰性預測值.結果 108箇乳腺結節病理證實良性65箇(60.2%),噁性43箇(39.8%);BI-RADS超聲分級和CDFI超聲評分診斷乳腺良噁性病差異無統計學意義(P>0.05).結論 BI-RADS超聲分級和CDFI超聲評分診斷乳腺病變均具有較高的臨床應用價值,而BI-RADS超聲分級為臨床提供瞭規範化和標準化的影像數據報告,更有利于指導臨床醫師對乳腺病變的正確判斷和積極治療.
목적 탐토유선영상보고수거계통(BI-RADS)초성분급화고빈채색다보륵초성(CDFI)평분진단유선병변적개치.방법 대수도의과대학부속북경세기단의원초성과2011년3월지2012년12월136례유선결절환자108개유선결절진행CDFI초성평분화BI-RADS초성분급진단,의거천자활검화수술병리결과진행대비분석,계산량자진단유선량악성병변적민감성、특이성、준학성、양성예측치급음성예측치.결과 108개유선결절병리증실량성65개(60.2%),악성43개(39.8%);BI-RADS초성분급화CDFI초성평분진단유선량악성병차이무통계학의의(P>0.05).결론 BI-RADS초성분급화CDFI초성평분진단유선병변균구유교고적림상응용개치,이BI-RADS초성분급위림상제공료규범화화표준화적영상수거보고,경유리우지도림상의사대유선병변적정학판단화적겁치료.
Objective To explore the diagnostic value with BI-RADS lexicon and high-frequency color doppler ultrasonic scoring for breast diseases.Methods A total of 108 breast lesions were studied with BI-RADS lexicon and high-frequency color doppler ultrasonic scoring,and compared with pathologic results.Calculated the sensitivity,specificity,accuracy,positive predictive value,and negative predictive value.Results Of these 108 lesions,65 (60.19%) were pathologically confirmed to be benign and 43 (39.82%) to be malignant.There were no statistically significant differences between BI-RADS lexicon and high-frequency color doppler ultrasonic scoring in the diagnosis of breast lesions (P >0.05).Conclusion Both of BI-RADS lexicon and high-frequency color doppler ultrasonic scoring have a higher value for dignosing breast disease in clinical application,and BI-RADS lexicon provides the normalized and standardized reporting data for clinical doctor in dignosing breast disease,It is more conducive to guide clinicians with correct judgment and active treatment for breast disease.