非肿块型乳腺病变二维超声分型与病理结果对比性分析  

Comparative analysis of two-dimensional ultrasound classification and pathological results in diagnosing non-mass breast lesions

作　　者：王婉露 孙医学[1] WANG Wan-lu(Department of ultrasonic medicine,first affiliated hospital of Bengbu Medical College,Bengbu,Anhui,233004,China)

机构地区：[1]蚌埠医学院第一附属医院超声医学科,安徽蚌埠233004

出　　处：《齐齐哈尔医学院学报》2020年第8期948-950,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨非肿块型乳腺病变二维超声分型的价值。方法选择2017年9—2019年9月在本院就诊95例乳房非肿块型患者进行超声检查,根据超声声像图分型,并与病理结果进行对比,分析超声分型对非肿块病变的价值。结果95例中Ⅰa型22例,Ⅰb型9例,Ⅱa型22例,Ⅱb型12例,Ⅲ型11例,Ⅳ型19例。Ia型术后或穿刺后病理阳性率为9%,Ⅰb型78%,Ⅱa型9%,Ⅱb型58%,Ⅲ型18%,Ⅳ型21%。与其他类型相比,Ⅰb和Ⅱb的阳性率较高,差异具有统计学意义(P<0.05)。病变内伴有钙化、异常腋下淋巴结在恶性疾病诊断具有一定价值,差异具有统计学意义(P<0.05)。结论采用二维超声分型在非肿块型乳腺病变鉴别诊断中具有一定意义。Objective To explore the value of two-dimensional ultrasound in classification of non-mass breast lesions.Methods From September 2017 to September 2019,95 patients with non-mass type breast lesions were examined by ultrasound in the first affiliated hospital of Bengbu Medical College.The results were classified according to the ultrasound image,and then compared with the pathological results to explore the value of ultrasound classification in the diagnosis of non-mass type.Results Of the 95 patients,22 cases were classified as type Ia,9 cases of type Ib,22 cases of type IIa,12 cases of type IIb,11 cases of type III,and 19 cases of type IV.The pathological positive rate of type Ia was 9%,type Ib was78%,type IIa was 9%,type IIb was 58%,type III was 18%,type IV was 21%.Compared with other types,the positive rates of type Ib and type IIb were the highest,the difference was statistically significant(P<0.05).The calcification and abnormal axillary lymph nodes were valuable in the diagnosis of malignant diseases(P<0.05).Conclusions Ultrasound classification is valuable in the differential diagnosis of non-mass breast lesions.

关 键 词：非肿块型病变 二维超声 分型 

分 类 号：R445.1[医药卫生—影像医学与核医学]