超声诊断BI-RADS Ⅲ～Ⅴ级乳腺肿块的临床价值探讨  

Ultrasonography in diagnosis of level 3-5 of breast imaging reporting and data system grading of breast lump

作　　者：方景华[1] 农丽录[1] 张绍芳[1] 陈少华[1] 

机构地区：[1]深圳市第五人民医院超声科,518000

出　　处：《国际医药卫生导报》2014年第10期1410-1413,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨彩色多普勒超声诊断BI-RADSⅢ～Ⅴ级乳腺肿块的临床价值.方法 回顾性分析术前应用彩色多普勒超声诊断为BI-RADSⅢ～Ⅴ级的乳腺肿块患者共252例,将超声所见与手术病理结果进行对照分析.结果 252例乳腺肿块病灶中,BI-RADSⅢ级154例,病理学证实良性138例（89.6％）,恶性16例（10.4％）;BI-RADSⅣ级66例,病理学证实良性23例（34.8％）,恶性43例（65.2％）;BI-RADS Ⅴ级31例,病理学证实良性1例（3.2％）,恶性30例（96.8％）.结论 在乳腺彩色多普勒超声检查中,应用BI-RADS分级诊断标准可以对乳腺肿块进行良恶性的风险评估,对乳腺肿块的临床诊治具有重要的指导价值.Objective To explore the clinical value of color doppler ultrasonography in the diagnosis of level 3-5 of breast imaging reporting and data system grading of breast lump.Methods 252 patients diagnosed with level 3-5 of breast imaging reporting and data system grading （BI-RADS Ⅲ～ Ⅴ） of breast lump by color doppler ultrasonography were retrospectively analyzed.The ultrasonic results were compared with the operative and pathological findings.Results Among the 252 cases,138 （89.6％） were confirmed as benighn and 16 （10.4％） as malignant by pathology in 154 cases of BI-RADS Ⅲ ; 23 （34.8％） benighn and 43 （65.2％） malignant in 66 cases of BI-RADS Ⅳ ; and 1 （3.2％） benighn and 30 （96.8％） malignant in 31 cases of BI-RADS Ⅴ.Conclusions Evaluating the benighn-malignant risk of breast lump applying BI-RADS in color doppler ultrasound examination has important instruction value to the clinical diagnosis and treatment of breast lump.

关 键 词：乳腺肿块 彩色多普勒超声 BI-RADS分级 

分 类 号：R445.1[医药卫生—影像医学与核医学]