数字乳腺断层X射线成像(DBT)、超声(US)检查及两者联合应用在女性少量、多量腺体中病变的定性诊断价值  

The Qualitative Diagnostic Value of Digital Breast Tomography(DBT),Ultrasound(US)and Their Combination in Women with Lesions in Small and Large Glands

作　　者：郑晔 ZHENG Ye(Xiamen Haicang Hospital,Fujian Xiamen 361026)

机构地区：[1]厦门市海沧医院,福建厦门361026

出　　处：《中国医疗器械信息》2023年第22期8-10,共3页China Medical Device Information

摘　　要：目的:观察数字乳腺断层X射线成像(Digital Breast Tomography,DBT)、超声(ultrasonography,US)检查及两者联合应用在女性少量、多量腺体中病变的定性诊断价值分析。方法:回顾性分析本院2020年1月~2022年10月收治200例女性乳腺疾病且均接受DBT、US检查,并以病理学诊断结果作为“金标准”进行参照。根据美国放射学会(ACR)乳腺影像报告和数据系统(BI-RADS)2013版将本研究中散在纤维腺体和脂肪型统归为少量腺体型,将不均匀致密型和极度致密型腺体统归为多量腺体型。明确DBT、US检查及两者联合应用在女性少量、多量腺体中病变的定性诊断价值。结果:202个病灶病理结果显示良性疾病162个病灶,其中乳腺腺病(69个病灶,占42.59%)及纤维腺瘤(66个病灶,占32.67%),其次为导管内乳头状瘤、炎症、良性叶状肿瘤。恶性疾病40个病灶,其中浸润性导管癌(29个病灶,占72.50%)最为常见,其次为导管原位癌、浸润性小叶癌、乳头状癌、黏液腺癌、在少量腺体的诊断中,DBT与US检查相比灵敏度92.74%、94.35%和特异度75.50%、75.50%相差不大,且以DBT和US联合检查98.33%、83.25%的结果,与两者分别单独诊断相比,差异无统计学意义(P>0.05)。在多量腺体的诊断中,DBT与US检查相比灵敏度92.50%、82.50%和特异度84.75%、82.75%相差不大,且以DBT和US联合检查97.50%、98.25%的结果,与两者分别单独诊断相比,差异具有统计学意义(P<0.05)。结论:DBT、US两种不同检查方式的分析下,对乳腺疾病的诊断效能是相近的结果。而在实施DBT联合US检查的方式下,较单独两者的检查方式相比,在少量腺体的患者中诊断效能相近。而对于多量腺体的患者,开展以DBT联合US检查的方式,较两者单独检查能够提高乳腺疾病的诊断效能。Objective:To observe the qualitative diagnostic value of digital breast tomography(DBT),ultrasound(US)and their combined application in women with small or large amount of gland lesions.Methods:A retrospective analysis was made on 200 female patients with breast diseases in our hospital(from January 2020 to October 2022)who were examined by digital breast tomography(DBT)and ultrasound(US).The results of pathological diagnosis were used as the“gold standard”for reference.According to the American Radiological Society(ACR)Breast Imaging Reporting and Data System(BI-RADS)2013 edition,the scattered fibrous glands and fat type in this study are classified as a small number of glands,and the uneven dense and extremely dense glands are classified as a large number of glands.To determine the qualitative diagnostic value of DBT,US and their combined application in women with small or large amount of glandular lesions.Results:The pathological results of 202 lesions showed 162 benign lesions,including breast adenosis(69 lesions,accounting for 42.59%)and fibroadenoma(66 lesions,accounting for 32.67%),followed by intraductal papilloma,inflammation and benign phyllodes tumor.There are 40 malignant lesions,of which invasive ductal carcinoma(29 lesions,accounting for 72.50%)is the most common,followed by ductal carcinoma in situ,invasive lobular carcinoma,papillary carcinoma,mucinous adenocarcinoma.In the diagnosis of a small number of glands,the sensitivity of DBT is 92.74%,94.35%,and the specificity is 75.50%,75.50%.The results of DBT+US combined examination are 98.33%,83.25%,compared with the two separate diagnoses,the difference was not statistically significant(P>0.05).In the diagnosis of multiple glands,the sensitivity of 92.50%,82.50%and specificity of 84.75%,82.75%were not significantly different between DBT and US,and the results of 97.50%and 98.25%of DBT+US were statistically significant(P<0.05)compared with their separate diagnosis.Conclusion:The analysis of DBT and US with two different examination methods is equ

关 键 词：数字乳腺断层X射线成像 超声检查 两者联合检查 女性少量腺体 女性多量腺体 定性诊断 

分 类 号：R445[医药卫生—影像医学与核医学]