超声弹性成像在乳腺BI-RADS4类“微钙化非肿块型”病灶中的诊断价值

发布时间：2018-04-06 06:00

本文选题：超声弹性成像　切入点：乳腺病灶　出处：《中国超声医学杂志》2015年07期

【摘要】：目的探讨UE在乳腺BI-RADS 4类"微钙化非肿块型"病灶中的应用价值。方法 UE及钼靶鉴别乳腺BI-RADS 4类"微钙化非肿块型"192个病灶的良恶性,结合病理,比较分析UE的诊断价值。结果 UE诊断乳腺BI-RADS 4类"微钙化非肿块型"病灶总的各评价指标高于钼靶,4A类中UE的准确度及4C类中UE的灵敏度大于钼靶(P0.05);UE诊断4B类乳腺病灶时准确度低于钼靶,假阳性较高(P0.05)。结论 UE对乳腺BI-RADS 4类"微钙化非肿块型"病灶的整体诊断效能优于钼靶,对4A类及4C类病灶能较好诊断,能有效减少不必要的活检或手术。
[Abstract]:Objective to evaluate the value of UE in the diagnosis of breast BI-RADS type 4 microcalcification non-mass lesions.Methods UE and molybdenum target were used to differentiate the benign and malignant lesions of BI-RADS type 4 "microcalcified non-mass type" of mammary gland. Combined with pathology, the diagnostic value of UE was compared and analyzed.Results the accuracy of UE in the diagnosis of breast BI-RADS 4 "microcalcified non-mass" lesions was higher than that in molybdenum target 4A and the sensitivity of UE in class 4C was higher than that in molybdenum target P0.05 or UE. The accuracy of UE in diagnosis of 4B breast lesions was lower than that of molybdenum target.The false positive rate was higher (P 0.05).Conclusion UE is more effective than molybdenum target in the diagnosis of breast BI-RADS type 4 "microcalcified non-mass" lesions, and can be better diagnosed for 4A and 4C lesions, and can effectively reduce unnecessary biopsy or surgery.
【作者单位】：深圳大学第一附属医院(深圳市第二人民医院)超声科;
【基金】：深科技创新【2013】(No.JCYJ20130401111833183)
【分类号】：R737.9;R445.1

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