数字乳腺摄影诊断乳腺良恶性肿块的价值及误诊分析

发布时间：2018-01-31 23:41

本文关键词： 乳腺肿块数字乳腺摄影误诊分析　出处：《医学理论与实践》2016年23期 　论文类型：期刊论文

【摘要】：目的:评估数字乳腺摄影鉴别乳腺良恶性肿块的价值。方法:收集2012年12月-2015年12月在我院行数字乳腺摄影80例女性患者,良性病例随访截止至2016年6月,采用BI-RADS分类评价数字乳腺摄影的检查结果,并与病理作对照。结果:80例患者共检出88个病灶,其中恶性35例,良性53例。(1)乳腺恶性肿块组平均年龄为(46.36±9.816)岁,良性组平均年龄为(40.45±8.216)岁,恶性组年龄高于良性组,差异有统计学意义(P0.05)。(2)数字乳腺摄影的敏感性为80.0%,特异性为88.7%,假阳性率为11.3%,假阴性率为20.0%。(3)88个病灶数字乳腺摄影表现分别为局部密度增高26例(29.5%),单纯肿块20例(22.7%),肿块伴钙化20例(22.7%),单纯钙化18例(20.5%),结构扭曲4例(4.5%)。结论:数字乳腺摄影鉴别乳腺良恶性肿块有重要的价值,但仍然存在一定的误诊,必要时需结合超声或MRI检查。
[Abstract]:Objective: to evaluate the value of digital mammography in differentiating benign and malignant breast masses. Methods: from December 2012 to December 2015, 80 female patients underwent digital mammography in our hospital were collected. BI-RADS classification was used to evaluate the results of digital mammography and compared with pathology. Results 88 lesions were detected in 80 cases of benign mammography. The mean age of malignant tumor group was 46.36 卤9.816 years old, and that of benign group was 40.45 卤8.216 years old. The sensitivity, specificity and false positive rate of digital mammography were 80.0, 88.7and 11.3% respectively. The false negative rate was 20.0%.) the digital mammography of 88 lesions showed local density increase in 26 cases and local density increase in 29. 5%, and simple mass in 20 cases (22. 7%). There were 20 cases of mass with calcification, 18 cases of simple calcification, 20 cases of calcification, 4 cases of structural distortion and 4.5%. Conclusion: digital mammography has important value in differentiating benign and malignant breast masses. However, there are still some misdiagnoses, which should be combined with ultrasound or MRI.
【作者单位】：江苏省泰州市人民医院影像科;江苏省泰州市人民医院超声科;
【分类号】：R737.9;R445.2;R730.44
【正文快照】： 乳腺肿瘤是女性的常见病、多发病之一,乳腺癌已超越肺癌跃居女性恶性肿瘤发病率的首位,已成为女性最常见的恶性肿块[1],严重危害女性的身心健康甚至生命,根据中国抗癌协会乳腺癌专业委员会报道,我国每年新发的乳腺癌病例越17万。早期发现病灶可明显减低死亡率,影像学检查是乳

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