高频超声在乳腺普查中的应用  

Clinical value of high frequency ultrasonography on mastopathy screening

作　　者：李平[1] 王学梅[1] 李继光[2] 宛伟娜[1] 

机构地区：[1]中国医科大学附属第一医院超声科,辽宁沈阳110001 [2]中国医科大学附属第一医院乳腺外科,辽宁沈阳110001

出　　处：《中国现代医学杂志》2014年第15期86-89,共4页China Journal of Modern Medicine

摘　　要：目的探讨高频超声在乳腺普查中的应用价值。方法对3 100名妇女做了乳腺普查,对乳腺高频超声检查结果进行分析。结果超声检查出乳腺疾病896例,检出率为28.90%。超声共检出乳腺结节病灶1574个,超声诊断乳腺良恶性结节的敏感性、特异性、阳性预测值、阴性预测值分别为86.36%,98.90%,52.78%,99.80%。良恶性结节在形态、边界、细小钙化、后方衰减、纵横比及血流分布类型上的差异有显著性(P<0.01)。结论高频超声成像在乳腺疾病的检出和诊断中有重要价值。[Objective ] To assess the value of high frequency uhrasonography on mastopathy screening. [Methods] 3 100 cases were chosen as subjects, who were inspected by physical examination, high frequency uhrasonog-raphy and X-ray Mo-target mammography. [Results] 896 cases of breast diseases were detected by ultrasonogra-phy, the rate of detection was 28.90%. The sensitivity, specificity, positive predictive value and negative predictivevalue was 86.36%, 98.90%, 52.78%, 99.80% respectively of the 1574 detected breast nodules. Therewere statisticaldifferences in morphology, boundary, small calcification, rear attenuation and type of blood flow distribution betweenbenign and malignant lesions （P 〈0.01）. [ Conclusions] It is very important to apply high frequency uhrasonographyin the mastopathy screening. It may improve the detection and diagnostic accuracy for breast disease.

关 键 词：高频超声 乳腺 普查 

分 类 号：R445.1[医药卫生—影像医学与核医学]