放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2015年
6期
647-650
,共4页
郭吉敏%刘鹏程%阮继银%曹满瑞%赵弘%陆玮%朱志军
郭吉敏%劉鵬程%阮繼銀%曹滿瑞%趙弘%陸瑋%硃誌軍
곽길민%류붕정%원계은%조만서%조홍%륙위%주지군
肉芽肿性乳腺炎%体层摄影术,X 线计算机%磁共振成像
肉芽腫性乳腺炎%體層攝影術,X 線計算機%磁共振成像
육아종성유선염%체층섭영술,X 선계산궤%자공진성상
Granulomatous mastitis%Tomography,X-ray computed%Magnetic resonance imaging
目的：探讨临床病史、X 线和 MRI 三者结合诊断肉芽肿性乳腺炎的价值。方法：搜集术前两周同时行乳腺MRI 及 X 线检查的患者635例，其中14例经病理证实为肉芽肿性乳腺炎。分析单纯 X 线、单纯 MRI 以及三者结合（临床病史、X 线和 MRI）诊断肉芽肿性乳腺炎的灵敏度、特异度、漏诊率、阳性预测值以及阴性预测值。结果：X 线，MRI 及三者结合诊断肉芽肿性乳腺炎的灵敏度分别为14．3％、71．4％、85．7％；特异度分别为98．6％、99．2％、99．5％；漏诊率分别为85．7％、28．6％、14．3％；阳性预测值分别为18．2％、66．7％、80．0％；阴性预测值分别为98．1％、99．4％、99．7％。三者结合诊断肉芽肿性乳腺炎的灵敏度、特异度、阳性预测值及阴性预测值明显提高（P 值分别为0．00、0．00、0．01、0．01），漏诊率显著降低（P ＝0．00）。结论：依据临床病史、X 线及 MRI 三者结合能够提高对肉芽肿性乳腺炎的诊断。
目的：探討臨床病史、X 線和 MRI 三者結閤診斷肉芽腫性乳腺炎的價值。方法：搜集術前兩週同時行乳腺MRI 及 X 線檢查的患者635例，其中14例經病理證實為肉芽腫性乳腺炎。分析單純 X 線、單純 MRI 以及三者結閤（臨床病史、X 線和 MRI）診斷肉芽腫性乳腺炎的靈敏度、特異度、漏診率、暘性預測值以及陰性預測值。結果：X 線，MRI 及三者結閤診斷肉芽腫性乳腺炎的靈敏度分彆為14．3％、71．4％、85．7％；特異度分彆為98．6％、99．2％、99．5％；漏診率分彆為85．7％、28．6％、14．3％；暘性預測值分彆為18．2％、66．7％、80．0％；陰性預測值分彆為98．1％、99．4％、99．7％。三者結閤診斷肉芽腫性乳腺炎的靈敏度、特異度、暘性預測值及陰性預測值明顯提高（P 值分彆為0．00、0．00、0．01、0．01），漏診率顯著降低（P ＝0．00）。結論：依據臨床病史、X 線及 MRI 三者結閤能夠提高對肉芽腫性乳腺炎的診斷。
목적：탐토림상병사、X 선화 MRI 삼자결합진단육아종성유선염적개치。방법：수집술전량주동시행유선MRI 급 X 선검사적환자635례，기중14례경병리증실위육아종성유선염。분석단순 X 선、단순 MRI 이급삼자결합（림상병사、X 선화 MRI）진단육아종성유선염적령민도、특이도、루진솔、양성예측치이급음성예측치。결과：X 선，MRI 급삼자결합진단육아종성유선염적령민도분별위14．3％、71．4％、85．7％；특이도분별위98．6％、99．2％、99．5％；루진솔분별위85．7％、28．6％、14．3％；양성예측치분별위18．2％、66．7％、80．0％；음성예측치분별위98．1％、99．4％、99．7％。삼자결합진단육아종성유선염적령민도、특이도、양성예측치급음성예측치명현제고（P 치분별위0．00、0．00、0．01、0．01），루진솔현저강저（P ＝0．00）。결론：의거림상병사、X 선급 MRI 삼자결합능구제고대육아종성유선염적진단。
Objective:To explore the value of the combination of clinical history,X-ray mammography and breast MRI in the diagnosis of granulomatous mastitis.Methods:635 cases of granulomatous mastitis underwent breast MRI and X-ray mammography in two weeks before surgery,including 14 patients with pathologically confirmed granulomatous mastitis. The sensitivity,specificity,misdiagnosis rate,positive predictive value and negative predictive value of using mammography only,using MRI only and using the combination of three examinations (clinical findings,mammography and MRI)for diag-nosis of granulomatous mastitis were analyzed.Results:The sensitivity of X-ray mammography,MRI and three combined ex-aminations to diagnose granulomatous mastitis was 14.3%,71.4%,85.7% respectively;specificity was 98.6%,99.2%, 99.5%;rate of missed diagnosis was 85.7%,28.6%,14.3%;positive predictive value were 18.2%,66.7%,80%;negative predictive value was 98.1%,99.4%,99.7%.The sensitivity,specificity,positive predictive value and negative predictive value of three combined examinations to diagnose granulomatous mastitis was significantly increased (P values were 0.00, 0.00,0.01,0.01),while misdiagnosis rate was significantly decreased (P =0.00).Conclusion:The combination of clinical history,X-ray mammography and MRI can improve the diagnosis of granulomatous mastitis.
