BIRADS分级结合超声引导下穿刺活检在乳腺病变中的诊断价值分析  

Analysis of Diagnostic Value of BIRADS Classification Combined with Ultrasound-Guided Puncture Biopsy in Breast Lesions

作　　者：朱占领 赵茜[1] 王钟林[2] 黄红梅[1] 杨振冬 陈艳青 ZHU Zhan-ling;ZHAO Qian;WANG Zhong-lin;HUANG Hong-mei;YANG Zhen-dong;CHEN Yan-qing(Department of Ultrasound,Lianyungang Second People's Hospital,Lianyungang,Jiangsu,222000,China;Department of Oncology,Lianyungang Second People's Hospital,Lianyungang,Jiangsu,222000,China)

机构地区：[1]连云港市第二人民医院超声科,江苏连云港222000 [2]连云港市第二人民医院肿瘤科,江苏连云港222000

出　　处：《现代生物医学进展》2025年第3期543-549,共7页Progress in Modern Biomedicine

基　　金：江苏省卫生健康委科研项目(H2023100)。

摘　　要：目的:探究BIRADS分级结合超声引导下穿刺活检在乳腺病变中的诊断价值。方法:收集2021年11月至2024年11月在本院接受乳腺检查的患者75例,所有患者均为因乳腺异常体征或影像学检查发现病变而进一步接受超声引导下穿刺活检者。以手术病理为乳腺病变良恶性的金标准,比较BIRADS分级、超声引导下穿刺活检及两者联合在乳腺病变中的诊断效能。结果:(1)BIRADS分级诊断乳腺病变假阳性6例,假阴性3例,敏感度、特异度分别为93.18%、80.65%。(2)超声引导下穿刺活检诊断乳腺病变假阳性2例,假阴性6例,敏感度、特异度分别为86.36%、93.55%。(3)BIRADS分级及超声引导下穿刺活检联合诊断价值最高,AUC=0.95,敏感度、特异度分别为90.91%,96.77%。结论:BIRADS分级结合超声引导下穿刺活检在乳腺病变诊断中具有重要价值,可早期识别乳腺病变高危患者,指导乳腺病变患者临床治疗,值得临床推广应用。To explore the diagnostic value of BIRADS classification combined with ultrasound-guided puncture biopsy in breast lesions.Methods:A total of 75 patients who underwent breast examination in our hospital from November 2021 to November 2024 were enrolled.All patients further underwent ultrasound-guided puncture biopsy due to abnormal breast signs or lesions detected by imaging examinations.With surgical pathology as the gold standard for benign and malignant breast lesions,the diagnostic efficacy of BIRADS classification,ultrasound-guided puncture biopsy,and their combination in breast lesions was compared.Results:(1)BIRADS classification diagnosed 6 false positives and 3 false negatives for breast lesions,with sensitivity and specificity of 93.18%and 80.65%,respectively.(2)Ultrasound-guided puncture biopsy diagnosed 2 false positives and 6 false negatives for breast lesions,with sensitivity and specificity of 86.36% and 93.55%,respectively.(3)The combination of BIRADS classification and ultrasound-guided puncture biopsy showed the highest diagnostic value,with an AUC of0.95,sensitivity of 90.91%,and specificity of 96.77%.Conclusion:BIRADS classification combined with ultrasound-guided puncture biopsy has significant value in the diagnosis of breast lesions.It can identify high-risk patients with breast lesions early and guide clinical treatment for patients with breast lesions,warranting clinical promotion and application.

关 键 词：BIRADS分级 超声引导活检 乳腺病变 诊断价值 

分 类 号：R3[医药卫生—基础医学] R730.41