首页|乳腺超声影像评分系统在乳腺肿块良恶性鉴别诊断中的应用价值

乳腺超声影像评分系统在乳腺肿块良恶性鉴别诊断中的应用价值

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目的 分析乳腺超声影像评分系统在乳腺肿块良恶性鉴别诊断中的应用价值.方法 选取 2020 年1月至2023 年 1月我院收治的 80 例有乳腺实性肿块患者作为研究对象,所有患者均行乳腺超声检查,并应用乳腺超声影像评分系统对术前超声影像进行评分.以术后病理结果作为金标准,分析乳腺超声影像评分系统对肿块良恶性的诊断效能.结果 80 例患者中,病理结果确诊肿块 85 个,其中良性50 个、恶性 35 个,分别占比58.82%、41.18%.参照病理结果,乳腺超声影像评分系统对肿块良恶性的诊断准确度、灵敏度、特异度分别为 90.59%(77/85)、91.43%(32/35)、90.00%(45/50).超声影像特征中,恶性肿块的形态、长轴与皮肤表面、边界、内部回声评分为 2 分的占比均高于良性肿块,差异具有统计学意义(P<0.05);良恶性肿块的后方声影评分为2分的占比比较,差异无统计学意义(P>0.05).结论 乳腺超声影像评分系统鉴别乳腺肿块良恶性具有很高的诊断准确度、灵敏度、特异度,可作为早期乳腺癌的筛查方式,具有重要的临床推广价值.
Application value of breast ultrasound imaging scoring system in differential diagnosis of benign and malignant breast masses
Objective To analyze the application value of breast ultrasound imaging scoring system in differential diagnosis of benign and malignant breast masses.Methods From January 2020 to January 2023,80 patients with solid breast masses admitted in our hospital were selected as the research objects.All patients underwent breast ultrasound examination,and the breast ultrasound image scoring system was used to score the preoperative ultrasound images.With postoperative pathological results as the gold standard,the diagnostic efficacy of the breast ultrasound image scoring system for benign and malignant masses was analyzed.Results Among the 80 patients,85 masses were confirmed by pathological results,of which 50 were benign and 35 were malignant,accounting for 58.82%and 41.18%respectively.According to the pathological results,the diagnostic accuracy,sensitivity and specificity of the breast ultrasound imaging scoring system for benign and malignant masses were 90.59%(77/85),91.43%(32/35)and 90.00%(45/50),respectively.Among the ultrasonic imaging features,the proportion of malignant masses with a shape,long axis and skin surface,boundary and internal echo scores of 2 points were higher than those of benign masses,and the differences were statistically significant(P<0.05);there was no significant difference in the proportion of posterior acoustic shadow score of 2 points between benign and malignant masses(P>0.05).Conclusion The breast ultrasound imaging scoring system has high diagnostic accuracy,sensitivity and specificity in differentiating benign and malignant breast masses.It can be used as a screening method for early breast cancer and has important clinical promotion value.

breast ultrasound imaging scoring systembreast tumorbenign and malignant massesbreast ultrasound

周亚翠、李海珍

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陕西省宝鸡市凤翔区医院B超室,陕西 宝鸡,721400

超声影像评分系统 乳腺肿瘤 良恶性肿块 乳腺超声

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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