高频超声与乳管镜诊断病理性乳头溢液对比分析

发布时间：2018-04-29 16:05

本文选题：乳腺肿瘤 + 乳管镜　；参考：《中国医学影像技术》2015年08期

【摘要】：目的评价高频超声和乳管镜对病理性乳头溢液的诊断准确率。方法收集我院收治的122例(146侧病变)病理性乳头溢液患者,全部行高频超声和乳管镜检查,以病理诊断为标准,对比分析两者的诊断准确率。结果 146侧病变中,恶性病变8侧,超声均诊断正确,乳管镜诊断7侧,漏诊1侧;良性病变138侧,超声正确诊断108侧,乳管镜正确诊断116侧;高频超声和乳管镜的诊断准确率分别为79.45%(116/146)、84.25%(123/146),差异无统计学意义(χ2=1.13,P0.05)。高频超声联合乳管镜检查准确率为95.89%(140/146),与单独高频超声或乳管镜检查比较,差异有统计学意义(χ2=14.00,P0.01)。结论高频超声与乳管镜对病理性乳头溢液均有很高的诊断价值,超声对伴乳腺导管扩张的乳头溢液有很好的定性、定位诊断价值,且无创,可作为乳头溢液患者的首选检查方法;对超声检查未发现病因者,必要时再结合乳管镜检查,以减少漏诊。
[Abstract]:Objective to evaluate the diagnostic accuracy of high-frequency ultrasound and mammary tube endoscopy in the diagnosis of pathological nipple discharge. Methods 122 patients with pathological nipple discharge were collected and examined by high frequency ultrasound and mammary tube endoscopy. The diagnostic accuracy of the two methods was compared and analyzed according to the pathological diagnosis criteria. Results of 146 cases, 8 malignant lesions were diagnosed correctly by ultrasonography, 7 by mammary tube endoscopy, 1 by missed diagnosis, 108 by benign lesions and 116 by mammary duct endoscopy. The diagnostic accuracy of high-frequency ultrasound and mammary tube endoscopy were 79.45% / 146% and 84.25%, respectively. There was no significant difference between them (蠂 2 / 1.13 P 0.05). The accuracy of high frequency ultrasound combined with mammary tube endoscopy was 95.89 / 140 / 146g, which was significantly higher than that of high frequency ultrasound alone or mammary tube endoscopy (蠂 2 / 14.00 P 0.01). Conclusion both high-frequency ultrasound and mammary tube endoscopy have high diagnostic value in the diagnosis of pathological nipple discharge. Ultrasound has a good qualitative, localizing and non-invasive value in the diagnosis of nipple discharge with mammary ductal dilatation. It can be used as the first choice of examination in patients with nipple discharge. For those who have not found the cause of the disease by ultrasonography, we should combine with the examination of mammary tube if necessary to reduce the missed diagnosis.
【作者单位】：川北医学院附属医院超声科四川省医学影像重点实验室;川北医学院附属医院外三科;
【基金】：川北医学院附属医院院级课题(2012-院-5)
【分类号】：R737.9;R445.1

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