钼靶和超声检查在乳腺癌临床诊断的准确性的比较分析  

Comparative Analysis of the Accuracy of Mammography and Ultrasound in the Clinical Diagnosis of Breast Cancer

作　　者：吴爱强 游仁芳[2] 喻瑾 王晓姗 卢灿强 WU Ai-qiang;YOU Ren-fang;YU Jin;WANG Xiao-shan;LU Can-qiang(Department of Health Medicine,The 910th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Quanzhou,Fujian,362000,China;Department of Anesthesiology,The 910th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army,Quanzhou,Fujian,362000,China)

机构地区：[1]中国人民解放军联勤保障部队第910医院健康医学科,福建泉州362000 [2]中国人民解放军联勤保障部队第910医院麻醉科,福建泉州362000

出　　处：《现代生物医学进展》2022年第5期905-908,918,共5页Progress in Modern Biomedicine

基　　金：福建省卫生与计划生育委员会青年科研项目(2016-2-243)。

摘　　要：目的:比较与分析钼靶和超声检查在乳腺癌临床诊断的准确性。方法:2018年8月到2021年1月选择在本院进行诊治的乳腺肿瘤患者110例作为研究对象,所有患者都给予钼靶和超声检查,记录影像学特征并判断诊断价值。结果:在110例患者中,病理诊断为乳腺良性肿瘤76例、乳腺癌34例。恶性组钼靶的分叶征、钙化、大角征、毛刺征等比例高于良性组,病灶大小也高于良性组(P<0.05)。恶性组超声的形态不规则、边缘不光整、高回声晕、回声衰减、微钙化等比例高于良性组(P<0.05)。钼靶乳腺影像报告及数据系统(Breast imaging report and data system,BI-RADS)判断为乳腺良性肿瘤72例,乳腺癌38例;超声BI-RADS判断为乳腺良性肿瘤75例,乳腺癌35例,钼靶鉴别诊断乳腺癌的敏感性为93.4%,特异性为97.1%,准确性为94.5%;超声鉴别诊断乳腺癌的敏感性为98.7%,特异性为100.0%,准确性为99.1%。多因素logistic回归分析显示病灶大小、分叶征、回声衰减、毛刺征为导致误诊的重要因素(P<0.05)。结论:乳腺癌在钼靶和超声检查中都有明显的征象特征,超声诊断的准确性更高,病灶大小、分叶征、回声衰减、毛刺征为影响诊断效果的很重要因素。Objective: To compare and analysis the accuracy of mammography and ultrasound in the clinical diagnosis of breast cancer. Methods: From August 2018 to January 2021, 110 cases of patients with breast tumors who were diagnosed and treated in our hospital were selected as the research objects. All patients were given mammography and ultrasound examination, and the imaging characteristics were recorded and the diagnostic value were judged. Results: There were 76 patients were pathologically diagnosed as benign breast tumors and 34 patients were breast cancerin the 110 cases. The proportions of lobular sign, calcification, big angle sign, and burr sign of the malignant group were higher than those of the benign group, and the size of the lesion were also higher than that of the benign group(P<0.05). The proportion of ultrasound irregularities, uneven edges, hyperechoic halo, echo attenuation, and microcalcification in the malignant group were higher than that in the benign group(P<0.05). Mammogram breast imaging report and data system(BI-RADS)judged 72 cases of breast benign tumors and 38 cases of breast cancer;ultrasound BI-RADS judged 75 cases of breast benign tumors and35 cases of breast cancer. The sensitivity of mammography in differential diagnosis of breast cancer were 93.4%, the specificity were97.1%, and the accuracy were 94.5%;the sensitivity of ultrasound in differential diagnosis of breast cancer were 98.7%, the specificity were 100.0%, and the accuracy were 99.1%. Multivariate logistic regression analysis showed that lesion size, lobular sign, echo attenuation, and glitch sign were important factors leaded to misdiagnosis(P<0.05). Conclusion: Breast cancer have obvious signs and characteristics in mammography and ultrasound. The accuracy of ultrasound diagnosis are higher. The size of the lesion, the lobular sign, the echo attenuation, and the burr sign are very important factors that affect the diagnosis.

关 键 词：乳腺影像报告及数据系统 乳腺癌 钼靶 超声 准确性 

分 类 号：R737.9[医药卫生—肿瘤] R445[医药卫生—临床医学]