高频超声联合超声引导下穿刺活检在乳腺BI-RADS 4B-5类肿块的价值分析  

Value Analysis of High-frequency Ultrasound Combined with Ultrasound-guided Biopsy in Breast BI-RADS 4B-5 Masses

作　　者：柳登平 程芳 刘芳 黄淑英 LIU Dengping;CHENG Fang;LIU Fang;HUANG Shuying(Ultrasound Department of Wanzai County People's Medical,Wanzai 336100,Jiangxi,China;Obstetrics and Gynecology Department of Wanzai County Maternal and Child Health Hospital,Wanzai 336100,Jiangxi,China)

机构地区：[1]万载县人民医超声科,江西万载336100 [2]万载县妇幼保健院妇产科,江西万载336100

出　　处：《医学信息》2024年第24期129-132,共4页Journal of Medical Information

摘　　要：目的探究高频超声联合超声引导下穿刺活检在乳腺BI-RADS 4B-5类肿块的价值分析。方法选择万载县人民医院2021年4月-2024年6月收治的30例女性乳腺BI-RADS 4B-5类肿瘤患者作为对象。实施高频超声检查以及超声引导下穿刺活检,以手术病理结果为金标准,分析高频超声联合超声引导下穿刺活检在乳腺BI-RADS 4B-5类肿块中的诊断效能。结果30例女性乳腺肿瘤患者中,共32个病灶,其中右侧17个,左侧15个;恶性肿瘤(乳腺癌)25例,26个病灶;良性肿块5例,6个病灶。BI-RADS4B级中,恶性病灶4个,阳性预测值为44.44%;BI-RADS 4C级中,恶性病灶11个,阳性预测值为91.67%;BI-RADS 5级均为恶性,阳性预测值为100.00%。高频联合超声引导下穿刺活检检查的灵敏度、特异度、阳性预测值、阴性预测值、准确率均为100%,均高于高频超声检查的80.77%、50.00%、87.50%、37.50%、75.00%。结论高频超声联合超声引导下穿刺活检对乳腺BI-RADS 4B-5类肿块的鉴别诊断的价值确切,能为临床治疗提供准确参考。Objective To explore the value of high-frequency ultrasound combined with ultrasound-guided biopsy in breast BI-RADS 4B-5 masses.Methods Thirty female patients with breast BI-RADS 4B-5 masses admitted to Wanzai County People's Hospital from April 2021 to June 2024 were selected as subjects.High-frequency ultrasound examination and ultrasound-guided biopsy were performed.The diagnostic efficacy of high-frequency ultrasound combined with ultrasound-guided biopsy in breast BI-RADS 4B-5 masses was analyzed with surgical pathological results as the gold standard.Results Among the 30 patients,32 lesions were identified,while 17 on the right and 15 on the left.Of these,26 lesions in 25 patients were malignant(breast cancer),while 6 lesions in 5 patients were benign.In the BI-RADS 4B category,4 lesions were malignant,with a positive predictive value of 44.44%.In the BI-RADS 4C category,11 lesions were malignant,with a positive predictive value of 91.67%.All BI-RADS 5 lesions were malignant,with a positive predictive value of 100.00%.The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of high-frequency combined with ultrasound-guided biopsy were all 100%,which were higher than 80.77%,50.00%,87.50%,37.50%and 75.00%of high frequency ultrasonography.Conclusion The combination of high-frequency ultrasound and ultrasound-guided needle biopsy is highly effective for the differential diagnosis of BI-RADS 4B-5 breast masses,which can provide the precise guidance for clinical treatment.

关 键 词：高频超声 超声引导下穿刺活检 BI-RADS 乳腺良恶性肿块 

分 类 号：R737.9[医药卫生—肿瘤]