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
柳登平 1程芳 2刘芳 2黄淑英1
作者信息
- 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
- 折叠
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.
Abstract
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Key words
High-frequency ultrasound/Ultrasound-guided puncture biopsy/BI-RADS/Benign and malignant breast masses引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据