乳腺疾病术前影像学评估价值探讨  

Comparison of breast imaging diagnostic methods in preoperative assessment of breast lesions

作　　者：李莹[1] 魏玺[2] 张瑾[1] 

机构地区：[1]天津医科大学附属肿瘤医院乳腺三科乳腺癌防治教育部重点实验室,天津300060 [2]天津医科大学附属肿瘤医院超声诊断治疗科,天津300060

出　　处：《现代肿瘤医学》2012年第1期83-85,共3页Journal of Modern Oncology

摘　　要：目的:比较彩色多普勒超声、钼靶和MRI在乳腺良恶性疾病诊断中的作用。方法:以术后病理结果为金标准,比较术前3种检查方法的诊断准确性。结果:共计465例乳腺疾病患者接受检查,其中乳腺恶性病变339例,乳腺良性病变126例。乳腺癌彩超、钼靶和MRI的灵敏度分别为88.3%、85.3%和92.3%,特异度分别为88.6%、90.4%和91.7%,诊断符合率分别为88.5%、89.5%和92.0%,其中MRI的各项诊断指标均为最高,对≤2cm的乳腺癌,钼靶的特异度最高(96.2%),但对于<45岁的年轻女性的致密性乳腺内的病变诊断,具有较低灵敏度。对乳腺炎性病变和导管瘤,钼靶及彩超较MRI诊断率高(66.6%,66.7%)。结论:彩色多普勒超声和钼靶及MRI 3种乳腺影像诊断方法对乳腺病变的诊断均有各自优势,联合三种检查方法可对术前乳腺病变有更高的诊断价值。Objective： To compare the accuracy of color-doppler ultrasonography,mammography and MR imaging in breast disease.Methods： The diagnostic accuracy of the three methods was analyzed on the basis of post-operation pathological results.Results： Four hundreds sixty five cases（breast cancer 339,benign lesion 126） were examined.Color-doppler ultrasonography,mammography and MR imaging for breast cancer,the sensitivity was respectively 88.3%,85.3% and 92.3%,the specificity was respectively 88.6%,90.4% and 91.7%,the accuracy rates were 88.5%,89.5% and 92.0% respectively.MR imaging was highest in sensitivity,specificity and accuracy.Mammography had the highest specificity in diagnosis of breast cancer（≤2cm）,but in younger women（45 age）,it had lower sensitivity.US and mammography had higher sensitivity than MR imaging in diagnosis of intraductal papilloma and inflammatory lesion of breast.Conclusion： Color-doppler ultrasonography and mammography and MR imaging are valuable breast imaging diagnostic methods.

关 键 词：乳腺病变 彩色多普勒超声 钼靶 核磁共振成像 

分 类 号：R730.4[医药卫生—肿瘤] R737.9[医药卫生—临床医学]