安徽医学
安徽醫學
안휘의학
ANHUI MEDICAL JOURNAL
2015年
8期
924-926,927
,共4页
李喆%何年安%胡春梅%隋秀芳
李喆%何年安%鬍春梅%隋秀芳
리철%하년안%호춘매%수수방
超声检查%乳腺病灶%乳腺影像报告和数据系统%诊断
超聲檢查%乳腺病竈%乳腺影像報告和數據繫統%診斷
초성검사%유선병조%유선영상보고화수거계통%진단
Ultrasonography%Breast lesions%BI-RADS%Diagnosis
目的：探讨超声乳腺影像报告和数据系统（BI-RADS-US）对乳腺良、恶性病灶的评估价值。方法回顾分析103例满足 BI-RADS-US 报告要求乳腺肿块患者的109个病灶，以术后病理诊断结果为金标准，计算 BI-RADS-US 诊断乳腺恶性病灶的准确性、敏感性、特异性、阳性预测值（PPV）及阴性预测值（NPV）。统计分析 BI-RADS-US 关于形态、方位、边界、边缘回声、后方回声、钙化等描述术语对良恶性病灶的鉴别价值。结果109个病灶的 BI-RADS-US 分级：良性50个，恶性59个；2~5级诊断恶性肿瘤的PPV 分别为0、5.8%、27.7%和93%。BI-RADS-US 诊断乳腺恶性肿瘤的的准确性、敏感性、特异性、PPV 和 NPV 分别为82.5%、96%、36%、93%和63%。在良恶性结节中，6个有统计学意义的超声描述词分别为：不规则形、非平行生长、边缘不光整，周围高回声声晕，后方回声衰减，内部微钙化；其 PPV 值分别为94%，87%，85%，95%，88%，84.6%。结论 BI-RADS-US 具有较高的诊断准确性，对预测乳腺良、恶性病灶有较高的价值，为临床提供了标准化和规范化的报告。
目的：探討超聲乳腺影像報告和數據繫統（BI-RADS-US）對乳腺良、噁性病竈的評估價值。方法迴顧分析103例滿足 BI-RADS-US 報告要求乳腺腫塊患者的109箇病竈，以術後病理診斷結果為金標準，計算 BI-RADS-US 診斷乳腺噁性病竈的準確性、敏感性、特異性、暘性預測值（PPV）及陰性預測值（NPV）。統計分析 BI-RADS-US 關于形態、方位、邊界、邊緣迴聲、後方迴聲、鈣化等描述術語對良噁性病竈的鑒彆價值。結果109箇病竈的 BI-RADS-US 分級：良性50箇，噁性59箇；2~5級診斷噁性腫瘤的PPV 分彆為0、5.8%、27.7%和93%。BI-RADS-US 診斷乳腺噁性腫瘤的的準確性、敏感性、特異性、PPV 和 NPV 分彆為82.5%、96%、36%、93%和63%。在良噁性結節中，6箇有統計學意義的超聲描述詞分彆為：不規則形、非平行生長、邊緣不光整，週圍高迴聲聲暈，後方迴聲衰減，內部微鈣化；其 PPV 值分彆為94%，87%，85%，95%，88%，84.6%。結論 BI-RADS-US 具有較高的診斷準確性，對預測乳腺良、噁性病竈有較高的價值，為臨床提供瞭標準化和規範化的報告。
목적：탐토초성유선영상보고화수거계통（BI-RADS-US）대유선량、악성병조적평고개치。방법회고분석103례만족 BI-RADS-US 보고요구유선종괴환자적109개병조，이술후병리진단결과위금표준，계산 BI-RADS-US 진단유선악성병조적준학성、민감성、특이성、양성예측치（PPV）급음성예측치（NPV）。통계분석 BI-RADS-US 관우형태、방위、변계、변연회성、후방회성、개화등묘술술어대량악성병조적감별개치。결과109개병조적 BI-RADS-US 분급：량성50개，악성59개；2~5급진단악성종류적PPV 분별위0、5.8%、27.7%화93%。BI-RADS-US 진단유선악성종류적적준학성、민감성、특이성、PPV 화 NPV 분별위82.5%、96%、36%、93%화63%。재량악성결절중，6개유통계학의의적초성묘술사분별위：불규칙형、비평행생장、변연불광정，주위고회성성훈，후방회성쇠감，내부미개화；기 PPV 치분별위94%，87%，85%，95%，88%，84.6%。결론 BI-RADS-US 구유교고적진단준학성，대예측유선량、악성병조유교고적개치，위림상제공료표준화화규범화적보고。
Objective To explore the value of ultrasound breast imaging reporting and data system(BI-RADS-US)in evaluation of breast diseases. Methods A total of 109 breast lesions from 103 patients satisfying the criteria of BI-RADS were retrospectively analyzed with BI-RADS lexicon,and their postoperative pathological results were compared. The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of BI-RADS-US to diagnosis breast malignant lesions were calculated. According to the BI-RADS-US lexi-con,descriptive terms such as irregular shape,non-parallel orientation,non-circumscribed margin,echogenic halo,shadowing and micro-calcifications,were used to identify breast benign and malignant lesions via chi-square test. Results Of 109 breast lesions,50 were patho-logically diagnosed to be benign and 59 to be malignant. The positive predictive values of breast malignant lesions from grade two to five were 0,5. 8% ,27. 7% and 93% ,respectively,and the calculated accuracy,sensitivity,specificity,positive predictive value and negative predic-tive value were 82. 5% ,96% ,36% ,93% ,63%. Irregular shape,non-parallel orientation,non-circumscribed margin,echogenic halo,shado-wing and micro-calcifications,these six ultrasound descriptive terms were more frequently found in malignant nodules than in benign nodules, and their positive predictive value were 94% ,87% ,85% ,95% ,88% ,84. 6% . Conclusion BI-RADS-US classification has high application value in diagnosis of benign and malignant breast lesions because of its high diagnostic accuracy and standard reporting data.
