二维超声和彩色多普勒超声诊断乳腺结节良恶性的符合率和灵敏度及特异度比较

Comparison of diagnostic coincidence rate,sensitivity and specificity between two-dimensional ultrasonography and color Doppler ultrasonography in the diagnosis of benign and malignant breast nodules

目的比较二维超声和彩色多普勒超声诊断乳腺结节良恶性的符合率和敏感度及特异度。方法选取2018年5月至2020年5月本院收治的84例乳腺结节患者作为研究对象,所有患者均实施二维超声与彩色多普勒超声检查,并以术后病理结果为金标准,分析两种诊断方法在乳腺结节良恶性中的诊断价值,并比较两种诊断方法的诊断符合率、灵敏度、特异度、误诊率与漏诊率。结果彩色多普勒超声的诊断符合率(94.05%)、灵敏度(91.67%)与特异度(95.00%)均明显高于二维超声(75.00%、54.17%、83.33%),误诊率(5.00%)与漏诊率(8.33%)均明显低于二维超声(16.67%、45.83%),差异有统计学意义(P<0.05)。结论与二维超声相比,彩色多普勒超声在乳腺结节良恶性诊断中的诊断符合率、灵敏度与特异度更高,误诊率与漏诊率更低,其临床诊断价值显著。

Objective To compared the diagnostic coincidence rate,sensitivity and specificity of two-dimensional ultrasonography and color Doppler ultrasonography in the diagnosis of benign and malignant breast nodules.Methods 84 patients with breast nodules admitted to our hospital from May 2018 to May 2020 were selected as the research subjects.All patients underwent two-dimensional ultrasonography and color Doppler ultrasonography,and postoperative pathological results were used as the gold standard,the diagnostic coincidence rate,sensitivity,specificity,misdiagnosis rate and missed diagnosis rate between were compared the two diagnostic methods.Results The diagnostic coincidence rate(94.05%),sensitivity(91.67%)and specificity(95.00%)of color Doppler ultrasound were significantly higher than those of two-dimensional ultrasound(75.00%,54.17%,83.33%),the misdiagnosis rate(5.00%)and missed diagnosis rate(8.33%)were significantly lower than two-dimensional ultrasound(16.67%,45.83%),and the difference was statistically significant(P<0.05).Conclusion Compared with two-dimensional ultrasound,color Doppler ultrasound has higher diagnostic coincidence rate,sensitivity and specificity,lower misdiagnosis rate and missed diagnosis rate in the diagnosis of breast nodules,and its clinical diagnostic value is significant.