Satake分类联合自动全容积成像在病理性乳头溢液中的应用价值  

Satake grading combined with automated breast volume scanner in the diagnosis of nipple discharge

作　　者：唐雪梅[1] 袁红梅[1] 侯令密[2] 谢少利 顾鹏[1] 唐盈[1] Tang Xuemei;Yuan Hongmei;Hou Lingmi;Xie Shaoli;Gu Peng;Tang Ying(Department of Ultrasound,the Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院附属医院超声科,南充637000 [2]川北医学院附属医院甲乳外科,南充637000

出　　处：《实用医技杂志》2020年第11期1435-1437,共3页Journal of Practical Medical Techniques

基　　金：四川省科技厅项目(19YYJC0384);川北医学院附属医院院级课题(2017-63)。

摘　　要：目的探讨乳腺Satake分类联合全自动容积超声成像(ABVS)在诊断病理性乳头溢液中的临床价值。方法采用Siemens Acuson 2000对溢液侧乳房进行常规超声(HUS)及全自动乳腺成像扫查,结果按Satake分类方法进行分类,1类诊断为良性,2、3、4类诊断为恶性,对照术后病理结果,探讨ABVS技术在病理性乳头溢液中的价值。结果HUS对微钙化在良恶性病变中检出率分别为23%、34%,差异无统计学意义(P>0.05)。ABVS良恶性病变中微钙化的检出率分别为27%、56%,差异有统计学意义(χ^2=5.031,P<0.05)。ABVS冠状面“汇聚征”恶性病变高于良性病变,差异有统计学意义(χ^2=9.634,P<0.05)。按Satake分类,HUS诊断良恶性病变的准确性为79%(46/58),ABVS诊断良恶性病变的准确性为88%(51/58),两者之间差异有统计学意义(χ^2=9.123,P<0.05)。HUS诊断导管内良恶性病变敏感性、特异性分别为78%、81%,ABVS诊断敏感性、特异性分别为88%、88%,差异无统计学意义(P>0.05)。结论ABVS能从多个断面显示病变,联合Satake分类在导管病变的定性诊断比HUS更有价值。Objective To discuss the value of Satake categorization combined with automatic automated breast volume scanner(ABVS)in the diagnosis of nipple discharge.Methods The breast of nipple discharge were scanned by Siemens automatic breast scanning technique ABVS and handheld ultrasound(HUS),then categorize the results by Satake grading,and evaluate the value of ABVS technique in identifying benign and malignant lesions by comparison of posto-perative pathological results.Results The detection rates of microcalcification in HUS benign and malignant lesions were 23%and 34%respectively,and the difference has no statistically significant(P>0.05).The detection rates of micro-calcification in ABVS benign and malignant lesions were 27%and 56%respectively,and the difference was statistically significant(χ^2=5.031,P<0.05).The ABVS coronal examination showed that the"convergence sign"was higher in mali-gnant lesions than the benign lesions,and the difference was statistically significant(χ^2=9.634,P<0.05).Based on Satake grading,the accuracy rate of HUS in the diagnosis of benign and malignant lesions was 79%(46/58),and the accuracy rate of ABVS was 88%(51/58).The difference was statistically significant(χ^2=9.123,P<0.05).The sensitivity and specificity of HUS and ABVS were 78%,81%and 88%,88%,respectively,and the difference has no statistically significant(P>0.05).Conclusion ABVS can show lesions from multiple sections,which combined with Satake classification is more valuable than HUS in the qualitative diagnosis of catheter lesions.

关 键 词：乳腺肿瘤 超声检查 全自动乳腺容积扫描 乳头溢液 

分 类 号：R655.8[医药卫生—外科学] R445.1[医药卫生—临床医学] R737.9