基于超声BI-RADS分类对不同病理类型乳腺肿块超声诊断符合率的质量控制  

Quality control of ultrasonic diagnosis coincidence rate of breast masses with different pathological types based on ultrasonic BI-RADS classification

作　　者：陈桂武 罗海波[1] 刘文芹 操勇杰 李霞[1] 陈沛芬[1] 谢玉环[1] CHEN Guiwu;LUO Haibo;LIU Wenqin;CAO Yongjie;LI Xia;CHEN Peifen;XIE Yuhuan(Department of Ultrasound,Dongguan Hospital Affiliated to Southern Medical University,Dongguan People’s Hospital,Guangdong Province,Dongguan 523000,China)

机构地区：[1]南方医科大学附属东莞医院东莞市人民医院超声科,广东东莞523000

出　　处：《妇儿健康导刊》2023年第10期25-27,33,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

基　　金：广东省医学科研基金指令性课题项目(C2022125)。

摘　　要：目的探讨基于超声BI-RADS分类对不同病理类型乳腺肿块超声诊断符合率的质量控制。方法选取2018年1月至2021年12月于南方医科大学附属东莞医院行超声检查的9471例女性患者。经病理证实乳腺肿块共9995个,采用Kappa检验分析超声检查与病理结果的一致性。结果病理结果显示,良性7762个,恶性2233个;超声诊断BI-RADS 1类25.00%、2类8.42%、3类1.83%、4a类8.80%、4b类50.60%、4c类93.35%、5类98.66%,超声检查结果与病理结果的一致性良好(Kappa=0.712,P<0.001)。结论不同病理类型乳腺肿块的超声诊断符合率较高,但仍存在误诊漏诊情况。了解乳腺超声检查的现状和不足,对超声诊断的质量控制具有一定的临床意义。Objective To explore the quality control of ultrasound diagnosis coincidence rate of different pathological types of breast masses based on ultrasound BI-RADS classification.Methods A total of 9471 female patients who underwent ultrasound examination in Dongguan Hospital Affiliated to Southern Medical University from January 2018 to December 2021 were selected.A total of 9995 breast masses were confirmed by pathology.Kappa test was used to analyze the consistency of ultrasound and pathological results.Results Pathological results showed that 7762 were benign and 2233 were malignant.The ultrasound diagnosis of BI-RADS category 1 was 25.00%,category 2 was 8.42%,category 3 was 1.83%,category 4a was 8.80%,category 4b was 50.60%,category 4c was 93.35%,and category 5 was 98.66%.The consistency between ultrasound results and pathological results was good(Kappa=0.712,P<0.001).Conclusion The coincidence rate of ultrasound diagnosis of different pathological types of breast masses is high,but there are still some cases of misdiagnosis and missed diagnosis.Understanding the current status and shortcomings of breast ultrasound examination has certain clinical significance for the quality control of ultrasound diagnosis.

关 键 词：乳腺肿块 超声检查 BI-RADS分类 质量控制 

分 类 号：R445.1[医药卫生—影像医学与核医学]