彩色多普勒超声联合X射线钼靶诊断乳腺结节的价值  

Value of Color Doppler Ultrasound Combined with X-ray Mammography in Diagnosis of Breast Nodules

作　　者：章晓兰[1] 梅莉[1] 李尊[1] 刘春艳 祁怡 ZHANG Xiao-lan;MEI Li;LI Zun;LIU Chun-yan;QI Yi(Department of Ultrasound,Wujin Hospital Affiliated to Jiangsu University/Wujin Clinical College of Xuzhou Medical University,Changzhou 213000,Jiangsu,China)

机构地区：[1]江苏大学附属武进医院/徐州医科大学武进临床学院超声科,江苏常州213000

出　　处：《医学信息》2022年第23期89-92,共4页Journal of Medical Information

摘　　要：目的分析彩色多普勒超声联合X射线钼靶诊断乳腺结节的应用价值。方法选取我院2018年1月-2021年6月95例乳腺结节患者作为研究对象,行彩色多普勒超声、X射线钼靶检查,以病理检查结果为金标准,比较多普勒超声、X射线钼靶以及联合检查的诊断价值;参考BI-RAS分级标准,比较彩色多普勒超声与X射线钼靶对乳腺结节的分级诊断结果;比较不同检查方式的灵敏度、特异度及准确率。结果多普勒超声、X射线钼靶、联合检查对乳腺结节的检出情况比较,差异无统计学意义(P>0.05);彩色多普勒超声与X射线钼靶对2级、3级、5级乳腺结节的检出率比较,差异无统计学意义(P>0.05);彩色多普勒超声对0级乳腺结节的检出率低于X射线钼靶,对4级乳腺结节的检出率高于X射线钼靶,差异有统计学意义(P<0.05);彩色多普勒超声诊断乳腺结节的灵敏度、特异度、准确率与X射线钼靶比较,差异无统计学意义(P>0.05),联合检查的灵敏度、特异度及准确率均高于彩色多普勒超声和X射线钼靶,差异有统计学意义(P<0.05)。结论彩色多普勒超声与X射线钼靶在乳腺结节的诊断中均具有较高的应用价值,但两者在检查中也存在一定的局限性,临床中应适当采用联合检查的方式,提高诊断准确率,以为后续的治疗提供指导。Objective To analyze the application value of color Doppler ultrasound combined with X-ray molybdenum target in the diagnosis of breast nodules.Methods From January 2018 to June 2021,95 patients with breast nodules in our hospital were selected as the research objects.Color Doppler ultrasound and X-ray mammography were performed.The pathological examination results were used as the gold standard to compare the diagnostic value of Doppler ultrasound,X-ray mammography and combined examination.With reference to BI-RAS classification criteria,the diagnostic results of color Doppler ultrasound and X-ray mammography for breast nodules were compared.The sensitivity,specificity and accuracy of different examination methods were compared.Results There was no significant difference in the detection of breast nodules by Doppler ultrasound,X-ray mammography and combined examination(P>0.05).There was no significant difference in the detection rate of grade 2,3 and 5 breast nodules between color Doppler ultrasound and X-ray mammography(P>0.05).The detection rate of grade 0 breast nodules by color Doppler ultrasound was lower than that of X-ray mammography,and the detection rate of grade 4 breast nodules was higher than that of X-ray mammography,the difference was statistically significant(P<0.05).There was no significant difference in sensitivity,specificity and accuracy between color Doppler ultrasound and X-ray mammography in the diagnosis of breast nodules(P>0.05).The sensitivity,specificity and accuracy of combined examination were higher than those of color Doppler ultrasound and X-ray mammography,and the differences were statistically significant(P<0.05).Conclusion Both color Doppler ultrasound and X-ray mammography have high application value in the diagnosis of breast nodules,but they also have certain limitations in the examination.In clinical practice,combined examination should be used to improve the accuracy of diagnosis and provide guidance for subsequent treatment.

关 键 词：彩色多普勒超声 X射线钼靶 乳腺结节 BI-RAS分级标准 

分 类 号：R445.1[医药卫生—影像医学与核医学] R816.4[医药卫生—诊断学]