超声BI-RADS分类对乳腺占位性病变的术前评估研究

发布时间：2018-05-10 13:26

本文选题：超声BI-RADS分类 + 乳腺占位性病变　；参考：《重庆医学》2017年11期

【摘要】：目的分析超声BI-RADS分类标准在乳腺占位性病变患者术前评估的临床价值。方法选择2013年11月至2015年10月该院收治的乳腺占位性病变患者84例作为研究对象。所有患者均采用超声BI-RADS分类标准对患者病情进行分类,所有患者均实施手术切除治疗,以手术病理诊断结果作为金标准,计算超声BI-RADS分类方法与手术病理诊断结果的Kappa一致性及BI-RADS分类判断方法的灵敏度、特异度和准确度。结果 84例患者超声BI-RADS分类结果:4a类22例,4b类15例,4c类14例,5类15例,6类18例。手术后病理诊断结果良性52例,恶性32例;BI-RADS分类良性51例,恶性33例。BIRADS分类法和手术病理诊断具有高度的一致性;BI-RADS分类法的灵敏度93.94%、准确度95.24%、特异度96.08%。结论超声BI-RADS分类法对乳腺占位性病变患者的术前评估灵敏度、准确度和特异度高,值得推广。
[Abstract]:Objective to analyze the clinical value of ultrasound BI-RADS classification criteria in preoperative assessment of breast space-occupying lesions. Methods from November 2013 to October 2015, 84 patients with space-occupying lesions of breast were selected. All patients were classified by ultrasound BI-RADS classification standard, all patients were treated with surgical resection, and the results of pathological diagnosis were used as gold standard. To calculate the Kappa consistency of ultrasonic BI-RADS classification method with surgical and pathological diagnosis results and the sensitivity, specificity and accuracy of BI-RADS classification method. Results the results of BI-RADS classification of 84 patients were as follows: 22 cases of 4a type 15 cases of 4b class 15 cases of 4c class 14 cases of 15 cases of type 5 and 15 cases of 6 types of 18 cases. The results of pathological diagnosis after operation were benign in 52 cases, malignant in 32 cases in benign BI-RADS classification in 51 cases, malignant in 33 cases. BIRADS classification was highly consistent with surgical and pathological diagnosis. The sensitivity, accuracy and specificity of BI-RADS classification were 93.944, 95.2424g and 96.08g, respectively. Conclusion Ultrasound BI-RADS classification is worth popularizing because of its high sensitivity, accuracy and specificity.
【作者单位】：贵州省铜仁市人民医院超声诊断科;贵州省铜仁市人民医院放射科;贵州省铜仁市人民医院甲乳外科;
【分类号】：R445.1;R737.9

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