自动乳腺全容积成像联合超声造影对乳腺导管内病变的诊断价值  

Diagnostic value of automated breast volume scanner combined with contrast-enhanced ultrasound for breast intraductal lesions

作　　者：孙晶晶 郭芳琪 殷隽 郜雅 严春 杨静[1] 赵佳琦 SUN Jingjing;GUO Fangqi;YIN Jun;GAO Ya;YAN Chun;YANG Jing;ZHAO Jiaqi(Department of Ultrasound,Shanghai Fourth People’s Hospital Affiliated to Tongji University,Shanghai 200434,China)

机构地区：[1]同济大学附属上海市第四人民医院超声医学科,上海200434

出　　处：《海军军医大学学报》2023年第9期1128-1133,共6页Academic Journal of Naval Medical University

基　　金：上海市虹口区卫生健康委员会医学科研课题(虹卫2103-03).

摘　　要：目的探讨自动乳腺全容积成像(ABVS)联合超声造影(CEUS)对乳腺导管内良、恶性病变的鉴别诊断价值。方法选取2021年8月至2023年3月于本院接受手术治疗的110例乳腺导管内疾病患者为研究对象,根据术后病理结果分为恶性病变组(60例)和良性病变组(50例)。两组患者均于术前进行ABVS和CEUS检查,分析2种检查方法单独和联合检查对乳腺导管内病变良、恶性的鉴别诊断效能。结果采用单一检查方法鉴别乳腺导管内病变良、恶性,CEUS诊断的灵敏度为80.00%,特异度为90.00%,准确度为84.55%;ABVS诊断的灵敏度为83.33%,特异度为88.00%,准确度为85.45%;两者联合检查的灵敏度和准确度较单一检查提高,分别为95.00%和90.00%。结论ABVS联合CEUS检查可提高对乳腺导管内病变良、恶性的鉴别诊断效能,具有较高的灵敏度和准确度。Objective To explore the value of automated breast volume scanner(ABVS)combined with contrastenhanced ultrasound(CEUS)in the differential diagnosis of benign and malignant breast intraductal lesions.Methods A total of 110 patients with breast intraductal diseases who received surgical treatment in our hospital from Aug.2021 to Mar.2023 were enrolled.According to the postoperative pathological results,they were divided into malignant lesion group(60 cases)and benign lesion group(50 cases).ABVS and CEUS were performed in both groups before surgery.The differential diagnostic efficacies of the 2 methods alone and in combination for benign and malignant breast intraductal lesions were analyzed.Results The sensitivities,specificities,and accuracies in diagnosing benign and malignant breast intraductal lesions were 80.00%,90.00%,and 84.55% by CEUS alone,and 83.33%,88.00%,and 85.45% by ABVS alone,respectively.The sensitivity(95.00%)and accuracy(90.00%)of the combined examination were significantly higher than those of the single examination.Conclusion ABVS combined with CEUS can improve the differential diagnostic efficacy of benign and malignant breast intraductal lesions with high sensitivity and accuracy.

关 键 词：乳腺导管内病变 自动乳腺全容积成像 超声造影 达峰强度 

分 类 号：R655.8[医药卫生—外科学] R445.1[医药卫生—临床医学]