CAJ | 학술논문

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.
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.