超声评分对乳腺良、恶性结节的诊断价值  

Diagnostic value of ultrasonic scoring of benign and malignant breast nodules

作　　者：张义侠[1] 崔雪阳[2] 耿晶[1] 王学梅[1] 

机构地区：[1]中国医科大学附属第一医院超声诊断科,辽宁沈阳110001 [2]中国医科大学临床医学系,辽宁沈阳110001

出　　处：《中国介入影像与治疗学》2009年第6期567-570,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨超声评分对乳腺结节的诊断价值。方法对乳腺良、恶性结节进行超声评分,并与术后病理结果对比分析。结果良性乳腺结节的二维评分及总评分与恶性乳腺结节相比差异有统计学意义(P<0.01),恶性结节超声评分高于良性结节(P<0.01);根据ROC曲线和Youden指数,可将超声评分≥11分作为二维超声诊断恶性占位的临界点,超声评分≥12分作为总评分诊断恶性占位的临界点。结论通过对乳腺占位的超声评分有助于提高乳腺良、恶性结节超声诊断的准确率。Objective To assess the diagnostic value in breast nodules with ultrasontic scoring.Methods Benign and malignant breast nodules were studied with ultrasonic scoring and compared with pathologic results.Results The 2D-ultrasontic scoring and total ultrasontic scores of benign breast nodular lesions had significant difference compared to malignant breast nodular lesions（P〈0.01）.Ultrasontic scores of malignant breast nodular lesions were higher than those of benign breast nodular lesions（P〈0.01）.According to the ROC curve and Youden index,2D-ultrasonic scores ≥11 could be considered as the critical point for the diagnosis of malignant breast nodular lesions,the total ultrasonic scores ≥12 could be considered as the critical point for diagnosis of malignant breast nodular lesions.Conclusion Ultrasonic scoring for breast nodular lesions may be useful for improving the diagnosis accuracy of the benign and malignant breast nodular lesions.

关 键 词：乳腺结节 超声检查 评分 

分 类 号：R445.1[医药卫生—影像医学与核医学] R730.41[医药卫生—诊断学]