新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2015年
5期
615-617,621
,共4页
乳腺超声%乳管内镜%乳头溢液疾病%应用价值
乳腺超聲%乳管內鏡%乳頭溢液疾病%應用價值
유선초성%유관내경%유두일액질병%응용개치
breast ultrasound%duct endoscopy%nipple discharge disease%application value
目的：探讨乳腺超声联合乳管内镜检查在乳头溢液疾病中的应用价值。方法选择100例乳头溢液患者，分别进行乳腺超声与乳管内镜检查，并将检查结果与病理进行对照，比较2种检查方法单独以及联合鉴别乳头溢液疾病良恶性的指标变化。结果（1）乳管内镜对乳头溢液疾病良恶性诊断的灵敏度、特异度、准确率分别为86．89％、87．18％、87．00％，明显高于乳腺超声的75．41％、76．92％、76．00％，差异有统计学意义（P ＜0．05）；（2）乳腺超声联合乳管内镜检查诊断乳腺导管癌的准确率为98．36％，明显高于单纯乳腺超声、乳管内镜的75．41％、86．89％，差异有统计学意义（P ＜0．05）；（3）乳腺超声联合乳管内镜诊断乳头溢液良恶性肿块的灵敏度、特异度、准确率、阴性预测值及阳性预测值分别为98．36％、97．44％、98．00％、97．40％、98．40％，明显高于单纯乳腺超声的75．41％、76．92％、76．00％、66．70％、83．60％和单纯乳管内镜的86．89％、87．18％、87．00％、80．90％、91．30％，差异均有统计学意义（P 均＜0．05）。结论乳腺超声联合乳管内镜检查有效提高了对乳头溢液疾病的诊断符合率，为临床医生的诊治提供了重要的参考价值。
目的：探討乳腺超聲聯閤乳管內鏡檢查在乳頭溢液疾病中的應用價值。方法選擇100例乳頭溢液患者，分彆進行乳腺超聲與乳管內鏡檢查，併將檢查結果與病理進行對照，比較2種檢查方法單獨以及聯閤鑒彆乳頭溢液疾病良噁性的指標變化。結果（1）乳管內鏡對乳頭溢液疾病良噁性診斷的靈敏度、特異度、準確率分彆為86．89％、87．18％、87．00％，明顯高于乳腺超聲的75．41％、76．92％、76．00％，差異有統計學意義（P ＜0．05）；（2）乳腺超聲聯閤乳管內鏡檢查診斷乳腺導管癌的準確率為98．36％，明顯高于單純乳腺超聲、乳管內鏡的75．41％、86．89％，差異有統計學意義（P ＜0．05）；（3）乳腺超聲聯閤乳管內鏡診斷乳頭溢液良噁性腫塊的靈敏度、特異度、準確率、陰性預測值及暘性預測值分彆為98．36％、97．44％、98．00％、97．40％、98．40％，明顯高于單純乳腺超聲的75．41％、76．92％、76．00％、66．70％、83．60％和單純乳管內鏡的86．89％、87．18％、87．00％、80．90％、91．30％，差異均有統計學意義（P 均＜0．05）。結論乳腺超聲聯閤乳管內鏡檢查有效提高瞭對乳頭溢液疾病的診斷符閤率，為臨床醫生的診治提供瞭重要的參攷價值。
목적：탐토유선초성연합유관내경검사재유두일액질병중적응용개치。방법선택100례유두일액환자，분별진행유선초성여유관내경검사，병장검사결과여병리진행대조，비교2충검사방법단독이급연합감별유두일액질병량악성적지표변화。결과（1）유관내경대유두일액질병량악성진단적령민도、특이도、준학솔분별위86．89％、87．18％、87．00％，명현고우유선초성적75．41％、76．92％、76．00％，차이유통계학의의（P ＜0．05）；（2）유선초성연합유관내경검사진단유선도관암적준학솔위98．36％，명현고우단순유선초성、유관내경적75．41％、86．89％，차이유통계학의의（P ＜0．05）；（3）유선초성연합유관내경진단유두일액량악성종괴적령민도、특이도、준학솔、음성예측치급양성예측치분별위98．36％、97．44％、98．00％、97．40％、98．40％，명현고우단순유선초성적75．41％、76．92％、76．00％、66．70％、83．60％화단순유관내경적86．89％、87．18％、87．00％、80．90％、91．30％，차이균유통계학의의（P 균＜0．05）。결론유선초성연합유관내경검사유효제고료대유두일액질병적진단부합솔，위림상의생적진치제공료중요적삼고개치。
Objective To explore the application value of breast ultrasound combined with duct endoscopy in nipple discharge diseases.Methods 100 cases of nipple discharge diseases were selected and given breast ultrasound and duct endoscopy,and the inspection results were compared with those from pathological ex-amination.The changes of index in identification of benign and malignant disease of nipple discharge were compared when using one alone and two methods combined.Results (1)The sensitivity,specificity and accuracy in diagnosing the malignant diseases of nipple discharge by duct endoscopy were 86.89%, 87.18%,87.00% respectively.The sensitivity, specificity and accuracy in diagnosing the malignant diseases of nipple discharge by breast ultrasound were 75.41%,76.92%,76.00% respectively.The differ-enc es between two methodswere statistically significant (P < 0.05 );(2)The accuracy of diagnosing breast ductal carcinoma checked by breast ultrasound combined with duct endoscopy was 98.36%,signifi-cantly higher than that when using breast ultrasound and breast duct endoscopyalone.The difference was statistically significant (P <0.05);(3)The sensitivity,specificity,accuracy,the negative predictive value and positive predictive value in diagnosing of ductal carcinoma by using breast ultrasound combined with duct endoscopy were 98.36%,97.44%,98.00%,97.40%,98.40%,significantly higher than that of 75.41%,76.92%,76.00%,66.70%,83.60% by using simple breast ultrasound and that of 86.89%, 87.18%,87.00%,80.90%,91.30% by using simple duct endoscopy.The differences were statistically sig-nificant (P < 0.05 ).Conclusion Breast ultrasound combined with duct endoscopy can improve the accuracy in diagnosing nipple discharge disease.The combined methods can provide important reference value for the clinician diagnosis and treatment.
