摘要目的 探讨超声弹性成像和X线钼靶在乳腺肿块BI-RADS分类诊断中的价值。方法 选取2017年1月～2018年12月我院收治的55例乳腺肿块患者作为研究对象，均行超声弹性成像与X线钼靶BI-RADS分类诊断。比较两种检查对乳腺肿块BI-RADS分类诊断的相关指标以及对不同直径乳腺肿块的诊断价值。结果 组织病理检查结果显示，恶性肿瘤20例，良性肿瘤35例。超声弹性成像BI-RADS分类诊断乳腺肿块的准确率与X线钼靶BI-RADS分类诊断比较，差异无统计学意义（P＞0.05）。超声弹性成像BI-RADS分类诊断直径＜1 cm 肿块的灵敏度、特异度、准确度低于X线钼靶BI-RADS分类诊断，差异有统计学意义（P＜0.05）；诊断直径1～2 cm 肿块的灵敏度、特异度、准确度与X线钼靶BI-RADS分类诊断比较，差异无统计学意义（P＞0.05）；诊断直径＞2 cm 肿块的灵敏度、特异度、准确度高于X线钼靶BI-RADS分类诊断，差异有统计学意义（P＜0.05）。结论 超声弹性成像与X线钼靶对乳腺肿块BI-RADS分类均有较高的诊断价值，两者对不同直径乳腺肿块的诊断各具优势。
Abstract：Objective To explore the value of ultrasound elastography and X-ray molybdenum target in the classification of breast masses by BI-RADS.Methods From January 2017 to December 2018, 55 patients with breast masses treated in our hospital were selected as the study objects, and all of them were diagnosed by ultrasound elastography and X-ray molybdenum target BI-RADS classification.The related indicators as well as the value to the diagnosis of breast lumps in different diameter were compared between tultrasound elastography and mammography BI-RADS.Results The histopathologic results showed 35 malignant lesions and 20 benign lesions.There was no significant difference in the accuracy of ultrasound elastography BI-RADS classification in diagnosis of breast masses compared with molybdenum target BI-RADS classification, and the difference was statistically significant (P＞0.05).The sensitivity,specificity and accuracy of ultrasound elastography BI-RADS classification in diagnosing tumors less than 1 cm in diameter were lower than those of X-ray mammography BI-RADS classification, and the difference was statistically significant (P＞0.05).There was no significant difference in sensitivity, specificity and accuracy of diagnosis between 1-2 cm diameter masses and BI-RADS classification (P＞0.05).The sensitivity, specificity and accuracy of diagnosing tumors larger than 2 cm in diameter were higher than those of X-ray mammography BI-RADS classification diagnosis,and the difference was statistically significant (P＞0.05).Conclusion Both ultrasound elastography and X-ray mammography BI-RADS have a high diagnostic value to breast lumps classification, with their own advantages in the diagnosis of breast lumps in different diameter.
罗育端； 王佳鑫； 陈漫清； 杜玉虹. 超声弹性成像和X线钼靶在乳腺肿块BI-RADS分类诊断中的价值[J]. 中国当代医药, 2020, 27(8): 137-139转143.
LUO Yu-duan； WANG Jia-xin； CHEN Man-qing； DU Yu-hong. Value of ultrasound elastography and X-ray molybdenum target in the classification of breast masses by BI-RADS. 中国当代医药, 2020, 27(8): 137-139转143.
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