乳腺血氧功能成像系统联合彩色多普勒超声诊断乳腺疾病

发布时间：2018-08-19 15:35

【摘要】：目的:运用彩色多普勒(简称彩超)和乳腺血氧功能成像系统(简称血氧三算子)诊断乳腺良恶性病变,评价两种检查手段单独及联合使用的敏感性、准确性、特异性及恶性病变的漏诊率。方法:对214例住院需手术患者术前行彩超和血氧三算子检查,判断良、恶性及与术后病理符合率。结果:在敏感性方面血氧三算子与彩超有差异,但无统计学差异(χ2=1.67,P0.05),准确性方面二者有统计学差异(χ2=3.91,P0.05),特异性方面无统计学差异(χ2=0.41,P0.05),恶性病变漏诊率血氧三算子与彩超分别为11.67%和20.34%,两者相比差异无统计学意义(χ2=1.66,P0.05);两者联合后恶性病变漏诊率由单一手段的最低11.67%下降至3.33%。结论:血氧三算子检查对诊断乳腺良恶性疾病具有较高敏感性、准确性、特异性及降低恶性漏诊率,联合彩超诊断能降低恶性病变的漏诊率。
[Abstract]:Objective: to evaluate the sensitivity and accuracy of the two methods in the diagnosis of benign and malignant breast lesions by using color Doppler ultrasound (CDFI) and mammary blood oxygen function imaging system (ABFI), and to evaluate the sensitivity and accuracy of the two methods in the diagnosis of breast benign and malignant lesions. Specificity and missed diagnosis rate of malignant lesions. Methods: 214 inpatients undergoing surgery were examined by color Doppler ultrasound and blood oxygen three operators before operation to determine the rate of benign, malignant and postoperative pathology. Results: there were differences in sensitivity between the three operators of blood oxygen and color Doppler ultrasound. But there was no statistical difference (蠂 2 / 1.67 P 0.05), there was statistical difference in accuracy (蠂 2 + 3.91%), no significant difference in specificity (P 0.05). The missed diagnosis rate of malignant lesions was 11.67% and 20.34%, respectively, and there was no significant difference between them (蠂 21.66 0. 05). The missed diagnosis rate of malignant lesions decreased from the lowest 11.67% of the single method to 3.33%. Conclusion: the diagnosis of benign and malignant breast diseases by using blood oxygen triple operator is sensitive, accurate, specific and can reduce the rate of missed diagnosis of malignant lesions.
【作者单位】：武汉大学中南医院体检中心;
【基金】：多功能乳腺血氧功能成像系统创新项目科技型中小型企业技术创新基金
【分类号】：R655.8;R445.1

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