探讨超声在乳腺硬化性腺病诊断中的价值

To Evaluate the Value of Ultrasound in the Diagnosis of Sclerosing Adenopathy of Breast

目的:研究超声在乳腺硬化性腺癌(SA)中的诊断价值。方法:采用回顾性分析2015年9月~2018年12月在本院治疗的疑似SA患者作为研究对象,术后病理经过确诊为SA的患者有86例,比较超声检查和X线检查的准确率、灵敏度和特异度,并采用二维超声和彩色多普勒超声复合成像技术进行BI-RADS分类。结果:超声检查的准确率、灵敏度和特异度分别高于X线检查,差异有统计学意义,P<0.05,1~3类的良性病变的有35例;4a类良性病变有30例、恶性病变的有10例;4b-5类良性病变的有5例、恶性病变的有6例。结论:超声诊断乳腺硬化性腺病的准确率高于X线诊断,无典型的超声图像,需进一步研究。

Objective:To study the diagnostic value of ultrasound in breast sclerosing adenocarcinoma(SA).Methods:Using retrospective analysis of suspected SA patients treated in our hospital from September 2015 to December 2018,86 patients with diagnosed SA after postoperative pathology,compared the accuracy,sensitivity and specificity of ultrasound examination and X-ray examination,and used two-dimensional ultrasound and color Doppler ultrasound composite imaging technique for BI-RADS classification.Results:The accuracy,sensitivity and specificity of ultrasound examination were higher than those of X-ray examination,the difference was statistically significant,P<0.05,35 cases of benign lesions of type 1~3;30 cases of benign lesions of class 4a and 10 cases of malignant lesions;5 cases of benign lesions of class 4b-5 and 6 cases of malignant lesions.Conclusion:The diagnostic accuracy of ultrasound is higher than that of X-ray diagnosis.There is no typical ultrasound image,and further research is needed.