BI-RADS超声与乳腺X线摄影联合检查在诊断乳腺原位癌中的价值分析

Value analysis of BI-RADS ultrasound combined with mammography in the diagnosis of breast carcinoma in situ

目的探讨BI-RADS超声与乳腺X线摄影分别单独检查或联合检查在乳腺原位癌中的诊断价值。方法回顾性分析2013年10月~2016年9月在清远市清新区人民医院及广州医科大学附属第三医院经病理活检已证实为乳腺原位癌的78例女性患者,在病理活检前均采用BI-RADS超声检查与乳腺X线摄影检查,并与病理活检结果对照,比较单独使用BI-RADS超声(B超检查)、单独使用乳腺X线摄影(X线检查)以及两者联合(联合检查)在诊断乳腺原位癌中的检出率、误诊率和敏感度。结果联合检查的检出率(94.94%)高于BI-RADS超声检查(87.17%)及乳腺X线摄影检查(76.92%),差异有统计学意义(P<0.05)。BI-RADS超声检查的检出率高于乳腺X线摄影检查,差异有统计学意义(P<0.05)。BI-RADS超声的总敏感度为87.17%,高于乳腺X线摄影的76.92%,差异有统计学意义(P<0.05),其中BI-RADS超声的4级诊断敏感度显著高于乳腺X线摄影的Ⅳ类诊断敏感度(P<0.05),而两组5级诊断敏感度和Ⅴ类诊断敏感度比较,差异无统计学意义(P>0.05)。结论 BI-RADS超声联合乳腺X线摄影对乳腺原位癌的检出率更高、敏感度更高,明显优于两者单独应用,值得临床推广。

Objective To explore the value of BI-RADS ultrasound combined with mammography in the diagnosis of breast carcinoma in situ.nethods From October 2013 to September 2016,78 female patients with breast cancer in situ confirmed by biopsy in People＇s Hospital of Qingxin District of Qingyuan City and the Third Hospital Affiliated to Guangzhou Medical University were proved by pathology were retrospectively analyzed.All patients were examined by BI-RADS uhrasonography and mammography before biopsy,and compared with the pathological biopsy results,the detection rate,misdiagnosis rate and sensitivity in the diagnosis of breast cancer by using BI-RADS （ultrasound exami- nation）,mammography alone （X-ray examination） and the combination of both were compared.Results The detection rate of combined examination （94.94%） was higher than that of BI-RADS uhrasonography （87.17%） and mammography （76.92%）,with significant difference （P〈0.05）.The detection rate of BI-RADS uhrasonography was higher than that of mammography,with significant difference （P〈0.05）.The total sensitivity of BI-RADS was 87.17%,which was higher than that of mammography （76.92%）,with significant difference （P〈0.05）.Among them,the diagnostic sensitivity of the grade 4 in BI-RADS was significantly higher than that of mammography,with significant difference（P〈0.05）.But there was no signifi- cant difference in the diagnosis sensitivity of grade 5 and V diagnosis between the two groups （P〉0.05）.Conclusion BI-RADS ultrasound combined with mammography has higher detection rat and higher sensitivity in diagnosis of breast carcinoma in situ,which is worth to promoting.