超声乳腺BI-RADS分级在乳腺包块鉴别诊断中的价值

The value of BI-RADS classification in the differential diagnosis of breast lump

目的：探讨超声乳腺BI-RADS分级在乳腺包块鉴别诊断中的价值。方法：收治乳腺包块患者100例，比较BI-RADS3～5级病灶在超声特征上的差异，分析其与病理诊断间的关系。结果：BI_RADS3～5级患者88例。手术后的病理证实：BI-RADS3级20例，BI-RADS4级30例，BI-RADS5级38例。不同分级病变在病灶边缘、回声、边界、血流阻力指数等差异均有统计学意义(P＜0.05)。结论：对乳腺包块患者采用超声乳腺BI_RADS分级诊断比较合适，可以为早期恶性肿瘤的诊断和指导提供有效的借鉴和重要的临床依据。

Objective:To evaluate the value of BI_RADS classification in the differential diagnosis of breast lump.Methods:100 patients with breast lump were selected.We compared the difference of ultrasonic features between BI-RADS 3～5 lesions,analyzed the relationship between them and the pathological diagnosis.Results:There were 88 patients with BI-RADS 3～5 levels.Postoperative pathology confirmed:BI-RADS grade 3 in 20 patients,BI-RADS grade 4 in 30 patients,BI-RADS grade 5 in 38 patients.There were significant differences in the edge,echo,boundary and blood flow resistance index of different grading lesions(P<0.05).Conclusion:The results of the experimental analysis showed that the BI-RADS classification of breast lumps in patients with ultrasound diagnosis is more appropriate.It can provide an effective reference and important clinical basis for the diagnosis and guidance of early malignant tumors.