ABVS联合X线钼靶对乳腺良恶性病灶的诊断价值  

Diagnostic value of ABVS combined with X-ray mammography in benign and malignant breast lesions

作　　者：邓晓妃 朱婷 方静 姜伟 DENG Xiao-fei;ZHU Ting;FANG Jing;JIANG Wei(Department of Ultrasound,Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen 518000,Guangdong,China)

机构地区：[1]华中科技大学协和深圳医院超声科,广东深圳518000

出　　处：《川北医学院学报》2023年第1期72-75,共4页Journal of North Sichuan Medical College

基　　金：广东省深圳市南山区技术研发和创意设计项目分项资金教育(卫生)科技项目(NS2021119)。

摘　　要：目的:探讨自动乳腺全容积扫描(ABVS)联合X线钼靶对乳腺良恶性病灶的诊断价值。方法:回顾性分析196例乳腺肿瘤患者的临床资料。根据术后病理学结果不同,分为恶性组(n=77)和良性组(n=119),探讨单独检查及二者联合检查的诊断价值,并绘制受试者工作特征(ROC)曲线。结果:在X线钼靶检查中,恶性组出现单纯微小钙化、结构紊乱征象的比例高于良性组(P<0.05);在ABVS检查中,恶性组出现“汇聚征”征象的比例高于良性组(P<0.05)。以病理学结果为“金标准”,ABVS联合X线钼靶的敏感度、特异度、阳性预测值、阴性预测值及准确性分别是97.40%、78.99%、75.00%、97.92%及86.22%,其敏感度高于X线钼靶和ABVS单独检查(P<0.05),阴性预测值高于X线钼靶检查(P<0.05)。ABVS联合X线钼靶的ROC曲线下面积为0.882(95%CI:0.828~0.924)。结论:ABVS和X线钼靶检查均是诊断乳腺良恶性病灶的有效手段,但二者联合能优势互补,进一步提高乳腺良恶性病灶诊断的敏感性。Objective:To investigate the diagnostic value of automatic breast volume scanner(ABVS) combined with X-ray mammography for benign and malignant breast lesions.Methods:A retrospective analysis was performed on 196 patients with breast tumors admitted.They were divided into malignant group(n=77) and benign group(n=119) according to the different pathological results after surgery.The diagnostic value of single examination and combined examination was discussed, and the receiver operating characteristic(ROC) curve of single examination and combined examination was drawn.Results:In the X-ray mammography examination, the proportion of simple microcalcification and structural disorder in the malignant group was higher than that in the benign group(P<0.05).In ABVS examination, the proportion of ’ convergence sign ’ in malignant group was higher than that in benign group(P<0.05).The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of ABVS combined with X-ray mammography were 97.40 %,78.99 %,75.00 %,97.92 % and 86.22 %,respectively, with pathological results as the gold standard.The sensitivity was higher than that of X-ray mammography and ABVS alone(P<0.05),and the negative predictive value was higher than that of X-ray mammography(P<0.05).The area under the ROC curve of ABVS combined with X-ray mammography was 0.882(95 %CI:0.828~0.924).Conclusion:ABVS and X-ray mammography are both effective means for the diagnosis of benign and malignant breast lesions, but the combination of the two can complement each other and further improve the sensitivity of benign and malignant breast lesions.

关 键 词：自动乳腺全容积扫描 X线钼靶 乳腺癌 良恶性 诊断价值 

分 类 号：R737.9[医药卫生—肿瘤]