乳腺纤维腺瘤的超声诊断及误诊分析

发布时间：2018-07-15 21:13

【摘要】：目的探讨乳腺纤维腺瘤的非典型声像图特征并分析误诊原因。方法回顾性分析经病理证实的485例(共493个病灶)乳腺纤维腺瘤患者的超声检查资料,分析其非典型声像特征,并计算误诊率;比较具有多种非典型特征与不具有或仅具有单一非典型特征病灶、不同大小病灶及不同病理类型病灶误诊率的差异,并分析误诊原因。结果超声正确诊断404个病灶,其中99个表现为非典型声像;误诊89个,均为非典型声像;具有≥2种非典型特征病灶误诊率高于2种非典型特征病灶(χ~2=256.40,P0.05),最大径3cm病灶误诊率高于≤3cm病灶(χ~2=6.73,P0.05),复杂型纤维腺瘤误诊率高于非复杂型(χ~2=188.01,P0.05)。结论具有多种非典型声像特征、体积较大、属复杂型纤维腺瘤的病灶易误诊。
[Abstract]:Objective to investigate the atypical sonographic features of breast fibroadenoma and to analyze the causes of misdiagnosis. Methods the ultrasonographic data of 485 cases (493 lesions) with breast fibroadenoma confirmed by pathology were analyzed retrospectively, and the characteristics of atypical sonography were analyzed, and the misdiagnosis rate was calculated. The misdiagnosis rates of various atypical lesions, different size lesions and different pathological types were compared with those with no or only atypical features, and the causes of misdiagnosis were analyzed. Results 404 lesions were correctly diagnosed by ultrasound, of which 99 were atypical images, 89 were misdiagnosed as atypical images, and 89 were misdiagnosed as atypical sonographic images. The misdiagnosis rate of atypical lesions with 鈮，

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