临床病史、X线和MRI三者结合对肉芽肿性乳腺炎的诊断

发布时间：2018-03-02 11:35

本文选题：肉芽肿性乳腺炎　切入点：体层摄影术　出处：《放射学实践》2015年06期 　论文类型：期刊论文

【摘要】：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。
[Abstract]:Objective: to explore the value of combining clinical history X ray and MRI in the diagnosis of granulomatous mastitis. Fourteen cases of granulomatous mastitis were confirmed by pathology. The sensitivity, specificity and missed diagnosis of granulomatous mastitis were analyzed by X-ray, MRI and the combination of X ray and MRI in diagnosis of granulomatous mastitis. Results the sensitivity of MRI and MRI in the diagnosis of granulomatous mastitis were 14.3 and 71.4, respectively. The specificity was 98.699. 2 and 99.5. 5, respectively. The missed diagnosis rate was 85. 7 and 28. 6%, respectively. The positive predictive value was 18. 226.7 and the negative predictive value was 80. 0; the negative predictive value was 80. 0; the negative predictive value was respectively. For 98.1 and 99.4 and 99.7 for the sensitivity of the diagnosis of granulomatous mastitis, The specificity, positive predictive value and negative predictive value were significantly increased (P = 0.000.000. 01), and the rate of missed diagnosis was significantly decreased. Conclusion: the combination of X ray and MRI can improve the diagnosis of granulomatous mastitis.
【作者单位】：南方医科大学附属深圳市妇幼保健院放射科;北京大学深圳医院医学影像中心;
【分类号】：R655.8;R816.8;R445.2

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