彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值

Differential diagnostic value of color Doppler ultrasound examination in benign and malignant breast lesions

目的探讨彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值。方法选取74例疑似乳腺癌患者,均进行钼靶X线检查与彩色多普勒超声检查,比较钼靶X线检查与彩色多普勒超声检查的影像学特征。以病理检查结果为金标准,分析钼靶X线检查与彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值。结果病理检查结果显示,乳腺癌52例,乳腺良性病变22例。彩色多普勒超声检查诊断乳腺癌的结果与病理检查结果的一致性(Kappa=0.840)高于钼靶X线检查(Kappa=0.580);彩色多普勒超声检查诊断乳腺癌的准确度、特异度、灵敏度、阳性预测值、阴性预测值均高于钼靶X线检查。结论彩色多普勒超声检查对乳腺良恶性病变的鉴别诊断价值较高,可清晰反映各类病灶的影像学特征,值得临床推广应用。

Objective To investigate the differential diagnostic value of color Doppler ultrasound examination in be�nign and malignant breast lesions.Method A total of 74 suspected breast cancer patients were selected and underwent molybdenum target X-ray and color Doppler ultrasound examinations,the imaging characteristics of molybdenum target X-ray and color Doppler ultrasound examinations were compared.Using pathological examination results as the gold standard,the differential diagnostic value of molybdenum target X-ray and color Doppler ultrasound examination for be�nign and malignant breast lesions were analyzed.Result The pathological examination showed that there were 52 pa�tients of breast cancer and 22 patients of benign breast lesions.The consistency between the color Doppler ultrasound ex�amination and pathological examination in the diagnosis of breast cancer(Kappa=0.840)was higher than the molybde�num target X-ray examination(Kappa=0.580).The accuracy,specificity,sensitivity,positive predictive value,and nega�tive predictive value of color Doppler ultrasound examination in the diagnosis of breast cancer were higher than those of molybdenum target X-ray examination.Conclusion Color Doppler ultrasound examination has high differential diagnos�tic value for benign and malignant breast lesions and can clearly reflect the imaging characteristics of various lesions,which is worthy of clinical promotion and application.