[1]彭 丽,柳玉芳,聂金花.超声检查在乳腺结节良恶性病变鉴别诊断中的应用价值[J].医学信息,2024,37(10):118-120125.[doi:10.3969/j.issn.1006-1959.2024.10.024]
　PENG Li,LIU Yu-fang,NIE Jin-hua.Application Value of Ultrasonography in the Differential Diagnosis of Benign and Malignant Breast Nodules[J].Journal of Medical Information,2024,37(10):118-120125.[doi:10.3969/j.issn.1006-1959.2024.10.024]
点击复制

超声检查在乳腺结节良恶性病变鉴别诊断中的应用价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年10期
页码:
118-120125
栏目:
论著
出版日期:
2024-05-15

文章信息/Info

Title:
Application Value of Ultrasonography in the Differential Diagnosis of Benign and Malignant Breast Nodules
文章编号:
1006-1959（2024）10-0118-04
作者:
彭 丽; 柳玉芳; 聂金花
（1.宜春新建医院功能科，江西 宜春 336000；2.宜春市人民医院功能科，江西 宜春 336000）
Author(s):
PENG Li; LIU Yu-fang; NIE Jin-hua
(1.Department of Function,Yichun Xinjian Hospital,Yichun 336000,Jiangxi,China;2.Department of Function,Yichun People’s Hospital,Yichun 336000,Jiangxi,China)
关键词:
超声检查; 乳腺结节; 良恶性病变; 鉴别诊断
Keywords:
Ultrasonography; Breast nodules; Benign and malignant lesions; Differential diagnosis
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2024.10.024
文献标志码:
A
摘要:
目的 研究超声检查在乳腺结节良恶性病变鉴别诊断中的应用价值。方法 选取2021年1月-2023年1月宜春新建医院诊治的60例乳腺结节患者为研究对象，均进行超声检查，分析超声检查乳腺结节良恶性病变影像学特点、血流参数[血流阻力指数（RI）、血流搏动指数（PI）、峰值流速（Vmax）]；以病理检查结果为金标准，比较超声检查对乳腺结节良恶性病变鉴别诊断价值（诊断准确率、敏感度、特异度、阳性预测值、阴性预测值），并统计良恶性乳腺结节血流检出率。结果 超声检查中乳腺良性结节超声征象与恶性结节比较，差异有统计学意义（P＜0.05）；恶性乳腺结节者RI、PI、Vmax均高于良性乳腺结节者（P＜0.05）；超声鉴别乳腺结节良恶性病变诊断准确率为91.67%、敏感度为94.29%、特异度为88.00%，阳性预测值为91.67%，阴性预测值91.67%；超声检查恶性乳腺结节血流检出率为84.00%，高于良性乳腺结节血流检出率的62.86%（P＜0.05）。结论 超声检查对乳腺结节良恶性病变鉴别具有较高的诊断效能，可通过超声征象特点、血流检出率、血流定量参数等提供可靠、丰富的鉴别依据，进而提高鉴别诊断价值。
Abstract:
Objective To study the application value of ultrasonography in the differential diagnosis of benign and malignant breast nodules.Methods Sixty patients with breast nodules diagnosed and treated in Yichun Xinjian Hospital from January 2021 to January 2023 were selected as the research objects. All patients were examined by ultrasonography. The imaging characteristics and blood flow parameters of benign and malignant lesions of breast nodules examined by ultrasonography [blood flow resistance index (RI), blood flow pulsation index (PI), peak flow velocity (Vmax)] were analyzed. The results of pathological examination were used as the gold standard to compare the value of ultrasonography in the differential diagnosis of benign and malignant breast nodules (diagnostic accuracy, sensitivity, specificity, positive predictive value, negative predictive value), and the detection rate of blood flow in benign and malignant breast nodules was counted.Results There was a statistically significant difference between the ultrasound signs of benign breast nodules and malignant nodules (P<0.05). RI, PI and Vmax of malignant breast nodules were higher than those of benign breast nodules (P<0.05). The diagnostic accuracy of ultrasound in differentiating benign and malignant breast nodules was 91.67%, the sensitivity was 94.29%, the specificity was 88.00%, the positive predictive value was 91.67%, and the negative predictive value was 91.67%. The detection rate of blood flow in malignant breast nodules by ultrasonography was 84.00%, which was higher than 62.86% in benign breast nodules (P<0.05).Conclusion Ultrasonography has a high diagnostic efficiency in the differential diagnosis of benign and malignant breast nodules. It can provide reliable and rich differential basis through the characteristics of ultrasound signs, blood flow detection rate and quantitative parameters of blood flow, so as to improve the value of differential diagnosis.

参考文献/References:

[1]刘静,陈霰,陈敬一,等.彩色多普勒超声早期诊断乳腺癌腋窝淋巴结转移的应用效果及灵敏度、特异度分析[J].中国妇幼保健,2020,35(2):357-359.[2]于洗河,张景茹,降海蕊,等.中国女性1990-2019年宫颈癌和乳腺癌疾病负担分析[J].中国公共卫生,2022,38(5):534-538.[3]靳鹏,李阳.超声“萤火虫”成像技术联合超微血管成像技术在鉴别诊断乳腺良恶性结节中的应用价值[J].蚌埠医学院学报,2021,46(6):799-802.[4]程莲,戚庭月,孙红光,等.VTIQ与常规超声在乳腺良恶性结节鉴别诊断中应用价值及相关参数与病理特征关联性分析[J].新疆医科大学学报,2020,43(12):1584-1588.[5]孙敏,胡晓丹,杨昭晖,等.超声造影特征及定量参数鉴别诊断乳腺良恶性结节的临床价值[J].临床超声医学杂志,2020,22(6):444-447.[6]袁晓锋,王玉柱,魏志环.彩色多普勒超声在乳腺结节诊断中的价值[J].实用癌症杂志,2021,36(9):1477-1479.[7]Yan Z.Research progress of ultrasonography in differential diagnosis of benign and malignant thyroid nodules[J].Adv Clin Med,2021,11(2):633-637.[8]董理珂.高频超声在乳腺良恶性微小结节鉴别诊断中的应用价值[J].河南医学研究,2017,26(18):3403-3404.[9]陈红,肖祎,赵巧玲.自动乳腺全容积超声成像与常规超声诊断乳腺癌价值的对比研究[J].临床超声医学杂志,2019,21(5):381-384.[10]陈光玉,金永红,项金凤.超声对乳腺结节BI-RADS分类的声像图表现与病理结果的对比分析[J].蚌埠医学院学报,2019,44(8):1097-1099,1103.[11]王欣月,张树华.乳腺实性结节超声声像图危险因素评分法临床应用价值探讨[J].中华肿瘤防治杂志,2019,26(6):400-405.[12]徐荣全,叶小剑,鄢磊,等.乳腺缝线肉芽肿的超声图像特征及误诊分析[J].中国超声医学杂志,2021,37(1):18-21.[13]王海飞,牛建梅,王冠杰,等.乳腺结节性非化脓性脂膜炎超声诊断与相关临床表现分析[J].中国超声医学杂志,2019,35(10):956-958.[14]苏龙彪,钟琴.二维超声联合弹性成像及三维超声对T1期乳腺癌的诊断价值[J].现代仪器与医疗,2021,27(4):45-47.[15]崔晖,李惠翔,崔可飞,等.剪切波新算法联合彩色多普勒血流显像对乳腺BI-RADS 4类结节的诊断[J].重庆医学,2016,45(11):1569-1570,1584.[16]Lee S,Jung JH,Kim D,et al.PET/CT for Brain Amyloid:A Feasibility Study for Scan Time Reduction by Deep Learning[J].Clinical Nuclear Medicine,2021,46(3):239.[17]宋峰.二维超声联合彩色多普勒超声在乳腺结节鉴别诊断中应用研究[J].齐齐哈尔医学院学报,2017,38(12):1426-1427.[18]尧美玲.二维超声结合彩色多普勒超声诊断乳腺结节的临床应用价值[J].现代诊断与治疗,2022,33(18):2780-2782.[19]卢伟军,王静,赖小伟,等.多普勒超声联合实时超声弹性成像技术诊断乳腺实性结节临床应用[J].浙江创伤外科,2022,27(2):403-405.[20]刘慧芬.彩色多普勒超声结合超声弹性成像对乳腺良恶性结节鉴别诊断的价值[D].西宁:青海大学,2016.

相似文献/References:

[1]罗 友,覃开凤,王小红.小颌畸形的产前超声诊断评价分析[J].医学信息,2018,31(04):160.[doi:10.3969/j.issn.1006-1959.2018.04.060]
　LUO You,QIN Kai-feng,WANG Xiao-hong.Evaluation of Prenatal Ultrasound Diagnosis of Maxillary Malformation[J].Journal of Medical Information,2018,31(10):160.[doi:10.3969/j.issn.1006-1959.2018.04.060]
[2]何佳妹.彩超对肝内三种常见强回声病灶的鉴别与诊断研究[J].医学信息,2018,31(12):160.[doi:10.3969/j.issn.1006-1959.2018.12.051]
　HE Jia-mei.Differentiation and Diagnosis of Three Common Strong Echo Lesions in Liver by Color Doppler Ultrasound[J].Journal of Medical Information,2018,31(10):160.[doi:10.3969/j.issn.1006-1959.2018.12.051]
[3]张 琦,杜丽娟,唐 震.结合X线和超声的神经网络在乳腺检查的应用[J].医学信息,2018,31(13):9.[doi:10.3969/j.issn.1006-1959.2018.13.003]
　ZHANG Qi,DU Li-juan,TANG Zhen.Application of Neural Network Combined with X-ray and Ultrasound in Breast Examination[J].Journal of Medical Information,2018,31(10):9.[doi:10.3969/j.issn.1006-1959.2018.13.003]
[4]李 慧.应变率弹性成像及剪切波弹性成像对TI-RADS 4类 甲状腺结节的诊断价值对比[J].医学信息,2018,31(14):164.[doi:10.3969/j.issn.1006-1959.2018.14.051]
　LI Hui.Comparison of the Diagnostic Value of Strain Rate Elastography and Shear Wave Elastography in TI-RADS Type 4 Thyroid Nodules[J].Journal of Medical Information,2018,31(10):164.[doi:10.3969/j.issn.1006-1959.2018.14.051]
[5]陈玉媛,易爱姣,谭齐鸣,等.中青年冠状动脉粥样硬化患者颈动脉硬化的超声特征[J].医学信息,2019,32(02):175.[doi:10.3969/j.issn.1006-1959.2019.02.054]
　CHEN Yu-yuan,YI Ai-jiao,TAN Qi-ming,et al.Ultrasound Characteristics of Carotid Atherosclerosis in Young and Middle-aged Patients with Coronary Atherosclerosis[J].Journal of Medical Information,2019,32(10):175.[doi:10.3969/j.issn.1006-1959.2019.02.054]
[6]宋旭光,许华宁,何玉冰,等.乳腺导管内乳头状瘤超声诊断回顾性分析[J].医学信息,2018,31(23):155.[doi:10.3969/j.issn.1006-1959.2018.23.045]
　SONG Xu-guang,XU Hua-ning,HE Yu-bing,et al.Retrospective Analysis of Ultrasound Diagnosis of Intraductal Papilloma of the Breast[J].Journal of Medical Information,2018,31(10):155.[doi:10.3969/j.issn.1006-1959.2018.23.045]
[7]王 静,高文莲.永存左上腔静脉的产前超声诊断评价[J].医学信息,2019,32(09):168.[doi:10.3969/j.issn.1006-1959.2019.09.057]
　WANG Jing,GAO Wen-lian.Prenatal Ultrasound Diagnosis of Permanent Left Superior Vena Cava[J].Journal of Medical Information,2019,32(10):168.[doi:10.3969/j.issn.1006-1959.2019.09.057]
[8]杨琴慧,李志东,陈 力.超声诊断木村病的临床价值[J].医学信息,2019,32(12):165.[doi:10.3969/j.issn.1006-1959.2019.12.056]
　YANG Qin-hui,LI Zhi-dong,CHEN Li.Clinical Value of Ultrasound Diagnosis of Kimura's Disease[J].Journal of Medical Information,2019,32(10):165.[doi:10.3969/j.issn.1006-1959.2019.12.056]
[9]马晓玺,夏炳兰.应变式弹性成像与剪切波弹性成像鉴别诊断乳腺良恶性结节的价值[J].医学信息,2020,33(06):79.[doi:10.3969/j.issn.1006-1959.2020.06.023]
　MA Xiao-xi,XIA Bing-lan.Differential Diagnosis of Benign and Malignant Breast Nodules by Strain Elastography and Shear Wave Elastography[J].Journal of Medical Information,2020,33(10):79.[doi:10.3969/j.issn.1006-1959.2020.06.023]
[10]董智芬,郭建锋.边缘不光整乳腺癌的超声图像分析[J].医学信息,2020,33(09):152.[doi:10.3969/j.issn.1006-1959.2020.09.051]
　DONG Zhi-fen,GUO Jian-feng.Ultrasound Image Aanalysis of Breast Cancer with Irregular Edge[J].Journal of Medical Information,2020,33(10):152.[doi:10.3969/j.issn.1006-1959.2020.09.051]

更新日期/Last Update: 1900-01-01