超声观察病灶几何圆度及形态特征对乳腺微小病灶良恶性鉴别诊断的效能分析  

Differential Diagnosis of Benign and Malignant Breast Microlesions by Ultrasonic Observation of Geometric Roundness and Morphological Features

作　　者：黄冬婷 HUANG Dong-ting(Department of Ultrasound,Heshan Street Community Health Service Center,Huli District,Xiamen City,Fujian Xiamen 361015)

机构地区：[1]厦门市湖里区禾山街道社区卫生服务中心超声科,福建厦门361015

出　　处：《中国医疗器械信息》2024年第16期28-30,157,共4页China Medical Device Information

摘　　要：目的:分析彩超观察病灶几何圆度及形态特征对乳腺微小病灶的鉴别诊断效能。方法:回顾性分析厦门市湖里区禾山街道社区卫生服务中心2020年1月~2022年12月诊治的82例乳腺微小病灶患者临床资料,患者均接受彩超检查,并以术后的病理结果为金标准进行分组,分析彩超观察病灶几何圆度及形态特征对乳腺微小病灶的鉴别诊断效果。结果:两组患者几何圆度、病灶方位、边缘、钙化情况存在差异(P<0.05)。几何圆度对乳腺微小病灶良恶性诊断的AUC为0.883(0.806~0.937),敏感度88.89%,特异度81.01%。彩超采用几何圆度及形态特征鉴别乳腺微小病灶良恶性的敏感度、特异度、准确率、阳性预测值、阴性预测值分别为77.78%、96.20%、91.51%、87.50%、92.68%。结论:彩超可有效鉴别乳腺微小病灶良恶性,在良恶性不同的病灶组织中,超声特征存在明显差异,具有良好的诊断效能。Objective:To analyze the differential diagnosis of breast microlesions by color ultrasonography.Methods:Clinical data of 82 patients with breast microlesions diagnosed and treated by Heshan Street Community Health Service Center,Huli District,Xiamen City from January 2020 to December 2022 were retrospectively analyzed.All patients were examined by color ultrasound and grouped according to postoperative pathological findings.To analyze the differential diagnosis effect of color ultrasound observation on the geometric roundness and morphological features of breast microlesions.Results:There were differences in geometric roundness,lesion orientation,edge and calcification between the two groups(P<0.05).The AUC of geometric roundness in the diagnosis of benign and malignant breast microlesions was 0.883(0.806-0.937),the sensitivity was 88.89%,and the specificity was 81.01%.The sensitivity,specificity,accuracy,positive predictive value and negative predictive value were 77.78%,96.20%,91.51%,87.50%and 92.68%,respectively,in the identification of benign and malignant breast microlesions by geometric roundness and morphological features.Conclusion:Color ultrasound can effectively distinguish benign and malignant breast microlesions,and there are obvious differences in ultrasound characteristics between benign and malignant breast lesions,and it has good diagnostic efficiency.

关 键 词：乳腺微小病灶 彩超 几何圆度 形态特征 

分 类 号：R445.1[医药卫生—影像医学与核医学]