中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
1021-1023
,共3页
超声检查%乳腺图像和报告数据体系%乳腺实性肿块%诊断
超聲檢查%乳腺圖像和報告數據體繫%乳腺實性腫塊%診斷
초성검사%유선도상화보고수거체계%유선실성종괴%진단
ultrasonography%breast imaging reporting and data system contained ultrasonography ( BI-RADS-US)%breast neoplasm%diagnosis
目的：探讨超声直接和间接征象特征赋值评分对乳腺实性肿块良恶性的诊断价值。方法采用彩色多普勒超声诊断技术对97例乳腺实性肿块患者104枚肿块进行超声直接和间接征象评分，并与术后病理结果进行对照，比较良恶性肿块直接和间接征象评分差异。结果恶性乳腺实性肿块超声直接和间接征象检出率均显著高于良性肿块（χ2值分别为9．898、11．656，均P＜0．05），对乳腺肿块直接征象和间接征象进行积分后显示，恶性肿块直接征象和间接征象积分均显著高于良性肿块（t直接征象值为10．308～41．835、t间接征象值为11．652～34．938，均P＜0．05）。直接征象最佳临界值为4分，诊断灵敏度、特异度和准确度分别为0．83、0．94和89．40％；间接征象最佳临界值为1分，诊断灵敏度、特异度和准确度分别为0．81、0．75和76．90％；两者联合最佳临界值为5分，诊断灵敏度、特异度和准确度分别为0．89、0．92和93．30％。结论超声直接、间接征象积分有助于诊断肿块的良恶性，具有一定临床价值。
目的：探討超聲直接和間接徵象特徵賦值評分對乳腺實性腫塊良噁性的診斷價值。方法採用綵色多普勒超聲診斷技術對97例乳腺實性腫塊患者104枚腫塊進行超聲直接和間接徵象評分，併與術後病理結果進行對照，比較良噁性腫塊直接和間接徵象評分差異。結果噁性乳腺實性腫塊超聲直接和間接徵象檢齣率均顯著高于良性腫塊（χ2值分彆為9．898、11．656，均P＜0．05），對乳腺腫塊直接徵象和間接徵象進行積分後顯示，噁性腫塊直接徵象和間接徵象積分均顯著高于良性腫塊（t直接徵象值為10．308～41．835、t間接徵象值為11．652～34．938，均P＜0．05）。直接徵象最佳臨界值為4分，診斷靈敏度、特異度和準確度分彆為0．83、0．94和89．40％；間接徵象最佳臨界值為1分，診斷靈敏度、特異度和準確度分彆為0．81、0．75和76．90％；兩者聯閤最佳臨界值為5分，診斷靈敏度、特異度和準確度分彆為0．89、0．92和93．30％。結論超聲直接、間接徵象積分有助于診斷腫塊的良噁性，具有一定臨床價值。
목적：탐토초성직접화간접정상특정부치평분대유선실성종괴량악성적진단개치。방법채용채색다보륵초성진단기술대97례유선실성종괴환자104매종괴진행초성직접화간접정상평분，병여술후병리결과진행대조，비교량악성종괴직접화간접정상평분차이。결과악성유선실성종괴초성직접화간접정상검출솔균현저고우량성종괴（χ2치분별위9．898、11．656，균P＜0．05），대유선종괴직접정상화간접정상진행적분후현시，악성종괴직접정상화간접정상적분균현저고우량성종괴（t직접정상치위10．308～41．835、t간접정상치위11．652～34．938，균P＜0．05）。직접정상최가림계치위4분，진단령민도、특이도화준학도분별위0．83、0．94화89．40％；간접정상최가림계치위1분，진단령민도、특이도화준학도분별위0．81、0．75화76．90％；량자연합최가림계치위5분，진단령민도、특이도화준학도분별위0．89、0．92화93．30％。결론초성직접、간접정상적분유조우진단종괴적량악성，구유일정림상개치。
Objective To explore the diagnostic value of score assignment for ultrasound characteristics of direct and indirect signs on benign or malignant breast neoplasm.Methods Color Doppler ultrasound was performed to assign direct and indirect signs scores for 97 cases of solid breast masses with 104 neoplasms, and the results were compared with pathological findings to analyze the difference in direct and indirect signs score between benign or malignant breast neoplasm.Results Ultrasound direct and indirect signs detection rates of malignant solid breast were significantly higher than those of benign tumor (χ2 value was 9.898 and 11.656, respectively, both P<0.05) . Direct signs and indirect signs scores of malignant neoplasms were significantly higher than those of benign ones ( tdirect signs ranged 10.308-41.835, tindirect signs ranged 11.652 -34.938, respectively, both P <0.05).The optimal cut-off value of direct sign was 4, and the diagnostic sensitivity, specificity and accuracy was 0.83, 0.94 and 89.40%, respectively.The optimal cut-off value of indirect sign was 1, and the diagnostic sensitivity, specificity and accuracy was 0.81, 0.75 and 76.90%, respectively.Combined optimal cut-off value was 5, and the diagnostic sensitivity, specificity and accuracy was 0.89, 0.92 and 93.30%, respectively.Conclusion Ultrasonic direct and indirect signs integral are helpful to the diagnosis of benign and malignant tumors with certain clinical value.
