高频彩色多普勒超声联合BI-RADS分级在临床鉴别诊断良恶性乳腺结节中的应用价值  

Application Value of High-frequency Color Doppler Ultrasonography Combined with BI-RADS Grading in Clinical Differential Diagnosis of Benign and Malignant Breast Nodules

作　　者：张秀丽 ZHANG Xiuli(Zhangzhou Second Hospital,Zhangzhou 363000,China)

机构地区：[1]漳州市第二医院,福建漳州363000

出　　处：《中外医学研究》2024年第11期58-61,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨高频彩色多普勒超声联合乳腺成像报告和数据系统(BI-RADS)分级在临床鉴别诊断良恶性乳腺结节中的应用价值。方法:选择2022年1月—2023年6月漳州市第二医院收治的197例乳腺结节患者作为研究对象。所有患者均完成高频彩色多普勒超声检查,以BI-RADS分级标准进行分级,将病理学检查作为金标准,分析高频彩色多普勒超声联合BI-RADS分级对恶性乳腺结节的诊断效能。结果:病理学检查结果显示,在197例乳腺结节患者中,有58例为恶性结节,139例为良性结节;高频彩色多普勒超声联合BI-RADS分级诊断恶性乳腺结节的敏感度为93.10%(54/58),特异度为61.87%(86/139),准确度为71.07%(140/197),阳性预测值为50.47%(54/107),阴性预测值为95.56%(86/90)。恶性乳腺结节血管收缩期最大流速(Vsmax)、血管舒张期最低流速(Vdmin)高于良性乳腺结节,差异有统计学意义(P<0.05);恶性乳腺结节的结节血供丰富、结节内部回声低占比高于良性乳腺结节,结节形态规则、结节边界清晰占比低于良性乳腺结节,差异有统计学意义(P<0.05)。结论:高频彩色多普勒超声联合BI-RADS分级在临床鉴别诊断良恶性乳腺结节中的应用价值较高。Objective:To investigate the application value of high-frequency color Doppler ultrasonography combined with breast imaging reporting and data system(BI-RADS)grading in differential diagnosis of benign and malignant breast nodules.Method:A total of 197 patients with breast nodules admitted to Zhangzhou Second Hospital from January 2022 to June 2023 were selected as the study objects.All patients underwent high-frequency color Doppler ultrasonography and were graded according to the BI-RADS grading standard.Pathology examination was taken as the gold standard to analyze the diagnostic efficiency of high-frequency color Doppler ultrasonography combined with BI-RADS grading for malignant breast nodules.Result:Pathological examination showed that among 197 cases of breast nodules,with 58 cases were malignant nodules and 139 cases were benign nodules.The sensitivity of high-frequency color Doppler ultrasonography combined with BI-RADS in the diagnosis of malignant breast nodules was 93.10%(54/58),specificity was 61.87%(86/139),accuracy was 71.07%(140/197),and positive predictive value was 50.47%(54/107),negative predictive value was 95.56%(86/90).The maximum vasosystolic flow velocity(Vsmax)and minimum vasodiastolic flow velocity(Vdmin)of malignant breast nodules were higher than those of benign breast nodules,and the differences were statistically significant(P<0.05).The proportion of rich blood supply and low internal echo in malignant breast nodules were higher than those in benign breast nodules,and the proportion of regular shape and clear boundary of nodules were lower than those in benign breast nodules,the differences were statistically significant(P<0.05).Conclusion:The application value of high-frequency color Doppler ultrasonography combined with BI-RADS grading in clinical differential diagnosis of benign and malignant breast nodules is high.

关 键 词：乳腺结节 高频彩色多普勒超声 乳腺成像报告和数据系统分级 

分 类 号：R737.9[医药卫生—肿瘤]