乳腺超声BI-RADS 3级病变影响因素的回顾性分析  

A retrospective analysis of influencing factors diagnosed with BI-RADS category 3 solid breast lesions by breast ultrasound

作　　者：段颖[1] 管玲[1] 王卫丽[1] 陆云[1] 杜润家[1] 张丽[1] 袁宏[1] 

机构地区：[1]甘肃省肿瘤医院功能科,甘肃兰州730050

出　　处：《甘肃医药》2015年第6期415-418,共4页Gansu Medical Journal

摘　　要：目的:应用美国放射协会制定的乳腺影像学报告和数据系统(ACR BI-RADS)对乳腺病变的分级标准,对超声诊断为3级的192例病灶进行分析,并对几种影响因素做进一步探讨。方法:对超声检查为BI-RADS 3级病变的192例乳腺肿块患者的声像图特征进行回顾分析。对患者年龄、病灶是否为多发、以及病灶的大小进行评价。结果:192例病例中,188例(97.92%)为良性,4例(2.08%)为恶性。其中,良性病灶中乳腺纤维腺瘤143例(74.5%),乳腺增生病34例(17.7%),所占比例仅次于纤维腺瘤。恶性乳腺病变患者的年龄及病灶大小与良性病变之间有明显差异(P=0.020,P=0.026)。而同诊断为3级的乳腺纤维腺瘤、乳腺增生病、导管内乳头状瘤及浆细胞性乳腺炎的病灶行该三项影响因素分析,年龄因素同样具有统计学意义(P=0.011)。结论:年龄因素在超声诊断BIRADS 3级病变中有重要意义。Objective： To analyse 192 patients with BI-RADS category 3 diagnosed by the ultrasound images and to explore several influem：ing factors by fulfilled the published criteria. Methods： A total of 192 lesions tbllow-up after the category 3 diagnosed by the uhrasouml images ineluded the initial breast ultrasound images were retrospectively reviewed and evaluated several factors such as age, muhitiplicity amt lesion size. Results： All of 192 lesions, 188 （97.92%） were benign and 4（2.08%） were malignant in whith fibroadenoma of breasl was 143（74.5%）, hyperplasia of mammary glands was 34（ 17.7%）.The size of the lesion and the patients age were found to have a significant influence between the benign solid masses and malignant（P=-0.020,P=0.026）. The age of fibroadenoma, hyperplasia of mammary glamls, intraductal papilloma and plasma cell mastitis regarded as category 3 had the statistical difference （P〈0.05）. Conclusions：Age has a statistically significant among the patients of BI-RADS category 3 diagnosed with breast ultrasound.

关 键 词：超声检查 乳腺疾病 BI-RADS分级 

分 类 号：R730.44[医药卫生—肿瘤]