磁共振动态增强和超声在乳腺疾病诊断中的诊断价值评价  

Diagnostic Value of Dynamic Enhanced Magnetic Resonance Imaging and Ultrasound in the Diagnosis of Breast Diseases

作　　者：宋晶 屈鹏 SONG Jing;QU Peng(Department of Medical Imaging,Yanzhou District People's Hospital,Jining 272100,Shandong,China)

机构地区：[1]山东省济宁市兖州区人民医院医学影像科,山东济宁272100

出　　处：《世界复合医学》2024年第4期179-182,共4页World Journal of Complex Medicine

摘　　要：目的 探讨磁共振动态增强和超声在乳腺疾病诊断中的诊断价值。方法 选取2022年6月—2023年6月山东省济宁市兖州区人民医院收治的80例疑似乳腺病变患者为研究对象,均实施磁共振动态增强和超声诊断技术,以病理检查为诊断金标准,比较不同检查方法的诊断效能及诊断符合率。结果 80例疑似乳腺病变患者中,病理诊断阳性70例,阴性10例;磁共振动态增强诊断阳性67例,阴性13例;超声诊断技术阳性66例,阴性14例。磁共振动态增强检查对乳腺病变的灵敏度94.29%,特异度90.00%,准确度93.75%均高于超声检查的91.43%、80.00%、90.00%,差异无统计学意义(χ^(2)=0.099、0.139、0.313,P均>0.05)。两种检查方法对乳腺纤维瘤、乳腺囊肿、乳腺炎性病变、乳腺增生症的诊断符合率比较,差异无统计学意义(P均>0.05)。结论 磁共振动态增强检查在诊断乳腺疾病方面的效果与超声相当,可以作为一种有效的辅助诊断工具来帮助识别乳腺疾病。Objective To explore the diagnostic value of dynamic magnetic resonance imaging and ultrasound in the diagnosis of breast diseases.Methods A total of eighty patients with suspected breast lesions who were treated in Yanzhou District People's Hospital of Jining City in Shandong Province from June 2022to June 2023 were selected as the study objects to perform dynamic enhanced magnetic resonance imaging and ultrasound diagnosis.Taking pathological examination as the gold standard,the diagnostic efficacy and diagnostic coincidence rate of different examination methods were compared.Results Among 80 suspected patients with breast lesions,70 were positive and 10 were negative.There were 67 positive cases and 13 negative cases in dynamic enhanced breast magnetic resonance imaging.Ultrasound diagnostic were positive in 66cases and negative in 14 cases.The sensitivity,specificity and accuracy of dynamic enhanced magnetic resonance imaging for breast lesions were 94.29%,90.00%,93.75%,which were higher than these of ultrasound examination(91.43%,80.00% and 90.00%),and the difference were not statistically significant(χ^(2)=0.099,0.139,0.313,all P>0.05).The diagnostic coincidence rates of two examination methods for breast fibroma,breast cyst,mammary inflammatory lesions,and mammary hyperplasia were compared,the differences were not statistically significant(all P>0.05).Conclusion Dynamic enhanced magnetic resonance imaging has the same effect as ultrasound in the diagnosis of breast diseases,so it can be used as an effective auxiliary diagnostic tool to help identify breast diseases.

关 键 词：磁共振动态增强检查 乳腺疾病 诊断 诊断符合率 超声 

分 类 号：R445[医药卫生—影像医学与核医学]