彩色多普勒超声在乳腺良恶性占位性病变鉴别诊断中的应用价值  

Value of color Doppler ultrasonography in differential diagnosis of benign and malignant space occupying lesions of breast

作　　者：陆艺红[1] 严优江[1] 叶迅[1] Lu Yihong , Yan Youjiang , Ye Xun(Department of Ultrasound, Changshou No. 1 People＇ s Hospital, Changshou 215500, Chin)

机构地区：[1]江苏省常熟市第一人民医院超声科,215500

出　　处：《中国实用医刊》2018年第3期62-64,共3页Chinese Journal of Practical Medicine

摘　　要：目的 研究分析彩色多普勒超声对乳腺良恶性占位性病变鉴别诊断的价值.方法 选取65例乳腺占位性病变患者为研究对象,分别进行彩色多普勒超声和常规超声检查,根据检查结果进行良恶性鉴别诊断.并对所有入选患者进行病理学诊断,以病理诊断结果作为金标准对两种检查方式的诊断结果予以评价.并对两种检查方式的敏感性、特异性及准确性进行比较研究.结果 65例乳腺占位性病变患者病理检出85个占位性病变,其中乳腺良性占位性病变35个（41.18％）,乳腺恶性占位性病变50个（58.82％）;彩色多普勒超声诊断女性乳腺良恶性占位性病变的敏感性、特异性、准确性、阳性预测值及阴性预测值分别为97.14％ （34/35）、96.00％（48/50）、96.47％（82/85）、94.44％（34/36）、97.96％（48/49）,均明显高于常规超声诊断的74.29％（26/35）、78.00％（39/50）、76.47％（65/85）、70.27％ （26/37）、81.25％ （39/48）,差异有统计学意义（P＜0.05）.结论 彩色多普勒超声对乳腺良恶性占位性病变的鉴别诊断具有敏感性高、特异性强及准确性高等优势,值得临床推广应用.Objective To analyze the value of color Doppler ultrasonography in the differential diagnosis of benign and malignant space occupying lesions of breast.Methods Sixty-five patients with breast space occupying lesions were selected as the research objects,and were checked by color Doppler ultrasound and conventional ultrasound examination.Property of leison,benign or malignant,was determined by to the examination results.At the same time,the pathological diagnosis was carried out on all subjects,and the results of the two examinations were evaluated with the pathological diagnosis as the gold standard.The sensitivity,specificity and accuracy of the two diagnostic methods were compared.Results In 65 patients,85 lesions were checked out by pathological diagnosis with 35 cases （41.18%）of benign breast lesions,50 cases （58.82%） of malignant breast lesions;the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of color Doppler ultrasound in the diagnosis of benign and malignant female occupying lesions were 97.14% （34/35）,96.00% （48/50）,96.47% （82/85）,94.44% （34/36）,97.96% （48/49）,which were significantly higher than those of conventional ultrasound [74.29% （26/35）,78.00% （39/50）,76.47% （65/85）,70.27% （26/37）,81.25% （39/48）],the difference was statistically significant （P 〈0.05）.Conclusions Color Doppler ultrasound has advantages of high sensitivity,specificity and accuracy in the differential diagnosis of benign and malignant breast lesions in middle-aged and elderly women,and it is worthy of popularization.

关 键 词：常规超声 彩色多普勒超声 乳腺癌 占位性病变 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]