乳腺癌早期诊断中应用超声诊断技术扫查的临床价值探讨  

The clinical value of ultrasonography in the early diagnosis of breast cancer

作　　者：李忠慧[1] LI Zhonghui(Department of Ultrasound,Jinxiang County People's Hospital,Jining,Shandong 272200,China)

机构地区：[1]金乡县人民医院超声科,山东济宁272200

出　　处：《影像研究与医学应用》2024年第17期30-32,36,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨乳腺癌早期诊断中应用超声诊断技术的临床价值。方法:选取2021年1月—2024年1月金乡县人民医院健康体检时发现乳腺结节的女性患者140例作为研究对象。均采用乳腺X射线摄影、超声技术进行检查,将穿刺活检病理诊断结果设为乳腺癌诊断金标准,对比在乳腺结节定性诊断中应用乳腺X射线摄影、超声对于乳腺癌诊断的结果,分析乳腺X射线摄影、超声的诊断结果与穿刺活检病理诊断结果之间一致性情况,并对比两种影像学方法对于乳腺癌确诊患者不同临床分期的诊断情况。结果:140例乳腺结节患者中有81例乳腺结节经由穿刺活检病理诊断证实为乳腺良性结节,有59例乳腺结节经由穿刺活检病理诊断证实为乳腺癌。在乳腺结节定性诊断中,关于乳腺癌诊断的灵敏度、特异度、准确率、阳性预测值、阴性预测值五项结果指标,超声的数值比乳腺X射线摄影高(P<0.05)。对于乳腺结节进行定性诊断时,乳腺X射线摄影诊断结果与金标准之间的一致性尚可,Kappa值为0.674,超声诊断结果与金标准之间的一致性良好,Kappa值为0.915。在确诊乳腺癌患者中,对于乳腺癌Ⅰ期,超声的诊断符合率比乳腺X射线摄影高(P<0.05);对于乳腺癌Ⅱ期、Ⅲ期和Ⅳ期,两种影像学方法的诊断符合率进行比较差异无统计学意义(P>0.05)。结论:对于乳腺结节进行定性诊断时,应用超声可取得比乳腺X射线摄影更加准确的诊断结果,不仅能够对乳腺癌与乳腺良性结节进行准确的鉴别诊断,还可在乳腺癌早期阶段将其准确检出,其诊断价值良好。Objective To explore the clinical value of ultrasound in the early diagnosis of breast cancer.Methods 140 female patients who were found to have breast nodules during health examinations in hospitals from January 2021 to January 2024 were selected as the study subjects.The patients were examined with mammography and ultrasound,and the pathological diagnosis results of puncture biopsy were set as the gold standard for the diagnosis of breast cancer.The diagnostic results of mammography and ultrasound for breast cancer were compared,and the consistency between the diagnostic results of mammography and ultrasound and the pathological diagnosis results of puncture biopsy was analyzed.In patients with breast cancer,the diagnostic accuracy of two imaging methods for clinical staging of breast cancer was compared.Results Among 140 cases of breast nodules,81 cases of breast nodules were confirmed as benign breast nodules by biopsy pathology,and 59 cases of breast nodules were confirmed as breast cancer by biopsy pathology.In the qualitative diagnosis of breast nodules,the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of ultrasound in the diagnosis of breast cancer were higher than those of mammography(P<0.05).In the qualitative diagnosis of breast nodules,the consistency between the mammography diagnosis results and the gold standard was moderate,with a Kappa value of 0.674.The consistency between the ultrasound diagnosis results and the gold standard was high,with a Kappa value of 0.915.Among the patients diagnosed with breast cancer,the coincidence rate of ultrasound in the diagnosis of breast cancer stageⅠwas higher than that of mammography(P<0.05),but there was no significant difference between the two imaging methods in the diagnosis of breast cancer stageⅡ,ⅢandⅣ(P>0.05).Conclusion In the qualitative diagnosis of breast nodules,ultrasound can obtain more accurate diagnostic results than mammography.It can not only accurately differentiate breast cancer from benign b

关 键 词：乳腺结节 乳腺癌 诊断 超声 乳腺X射线摄影 

分 类 号：R445.1[医药卫生—影像医学与核医学]