基于高频超声引导的乳腺包块导丝定位在乳腺病变中的诊断价值  

Diagnostic Value of Guidewire Localization of Breast Mass Based on High-frequency Ultrasound Guidance in Breast Lesions

作　　者：吴欣[1] 邹品飞[1] 黄敏[2] WU Xin;ZOU Pin-fei;HUANG Min(Dept.of Function,Yunnan Hospital of Traditional Chinese Medicine,Kunming Yunnan 650021,China;Dept.of Surgery,Yunnan Hospital of Traditional Chinese Medicine,Kunming Yunnan 650021,China)

机构地区：[1]云南省中医医院功能科,云南昆明650021 [2]云南省中医医院外科,云南昆明650021

出　　处：《昆明医科大学学报》2022年第2期67-71,共5页Journal of Kunming Medical University

基　　金：云南省教育厅科学研究基金资助项目(2019J1062)。

摘　　要：目的探讨基于高频超声引导的乳腺包块导丝定位在乳腺病变患者中的诊断价值。方法采用随机抽样方法选择2020年5月至2021年8月云南省中医医院疑似乳腺包块病变患者90例作为对象,患者入院后行高频超声引导的乳腺包块导丝定位诊断,并以病理组织检查结果作为“金标准”;计算并分析基于高频超声引导的乳腺包块导丝定位在乳腺病变患者中诊断价值。结果90例疑似乳腺包块病变患者均具有完整的病理结果,结果表明:57例良性病灶;恶性病灶27例。超声引导的乳腺包块导丝定位在纤维腺瘤、乳腺腺病、导管内乳头状瘤、浸润性导管癌和浸润性小叶癌中检出率与病理检查结果差异无统计意义(P>0.05);超声引导的乳腺良性包块导丝定位在乳腺良性病变患者中确诊57例,与金标准诊断符合率为86.67%[(53+25)/90]差异有统计学意义(P<0.05);诊断灵敏度为86.89%(53/61)、特异度为86.21%(25/29);超声引导的乳腺良性包块导丝定位在乳腺恶性病变患者中确诊27例,与金标准诊断符合率为88.89%[(57+23)/90]差异有统计学意义(P<0.05);诊断灵敏度79.31%(23/29)、特异度为93.44%(57/61)。结论基于高频超声引导的乳腺包块导丝定位用于乳腺病变患者中能获得较高的确诊率,诊断灵敏度和特异度较高,可指导临床诊疗,值得推广应用。Objective To evaluate the diagnostic value of high-frequency ultrasound-guided guide wire localization of breast mass in patients with breast lesions.Methods Ninety patients with suspected breast mass lesions in Yunnan Hospital of Traditional Chinese Medicine from May 2020 to August 2021 were selected as subjects by random sampling method.After admission,the patients received high-frequency ultrasound-guided guide wire localization diagnosis of breast mass,and the pathological tissue examination results were used as the"gold standard".The diagnostic value of high-frequency ultrasound-guided guide wire localization of breast mass in patients with breast lesions was calculated and analyzed.Results All 90 patients with suspected breast mass lesions had complete pathological results.The results showed that 61 patients had benign lesions.29 cases were malignant lesions.There was no significant difference in the detection rate of ultrasound-guided guide wire localization in fibroadenoma,breast adenosis,intraductal papilloma,invasive ductal carcinoma and invasive lobular carcinoma compared with pathological examination(P>0.05).57 cases of patients with benign breast lesions were diagnosed by ultrasonic-guided guide wire localization of benign breast masses,and the coincidence rate with gold standard diagnosis was 86.67%[(53+25)/90],the difference was statistically significant(P<0.05).The diagnostic sensitivity and specificity were 86.89%(53/61)and 86.21%(25/29).Ultrasound guided guide wire localization of benign breast mass was confirmed in 27 cases of breast malignant lesions,and the coincidence rate with gold standard diagnosis was 88.89%[(57+23)/90](P<0.05).The diagnostic sensitivity and specificity were 79.31%(23/29)and 93.44%(57/61)respectively.Conclusion High frequency ultrasound-guided guide wire localization of breast mass for patients with breast lesions can obtain a high diagnostic rate,high diagnostic sensitivity and specificity,which can guide clinical diagnosis and treatment,and is worthy of promotion and a

关 键 词：高频超声引导 乳腺包块 导丝定位 乳腺病变 诊断价值 

分 类 号：R737.9[医药卫生—肿瘤]