| 乳腺彩超和临床检查的一致性及预后的研究 |
| 投稿时间：2010-12-14 点此下载全文 |
| 引用本文：高海凤,张宏伟,马祥君,汪洁,孔令伟,高雅军,何湘萍.乳腺彩超和临床检查的一致性及预后的研究[J].医学研究杂志,2011,40(7):105-107 |
| DOI：
|
| 摘要点击次数: 1131 |
| 全文下载次数: 997 |
|
|
| 中文摘要:目的统计分析乳腺彩超发现低回声结节与临床查体的一致性，探讨不同低回声结节处理及预后的特点。方法选取海淀妇幼保健院乳腺病防治中心2009年5~12月间常规采用乳腺彩超进行乳腺癌筛查患者，共1456人，采用美国放射学会（ACR）制定的乳腺影像报告和数据系统（BI-RADS）的标准将乳腺彩超结果进行分级，统计分析乳腺彩超下直径大于≥1cm组及<1cm组两组临床查体以及处理的差别。结果1456人中乳腺彩超探及低回声结节共244人，占16.76%，乳腺彩超下低回声结节直径大于≥1cm组的临床查体检出率为28.60%， <1cm组临床查体检出率为7.5%，两者比较χ2=19445,P=0.000,差异有显著意义；乳腺彩超下低回声结节直径大于≥1cm组的活检率33.30%，<1cm组的活检率为18.80%，两者比较χ2=6.465,P=0.011,差异有统计学意义。结论乳腺彩超发现低回声结节的敏感性较高，<1cm的低回声结节临床查体检出率较低，其中有18.80%的结节BI-RADS-US分级为4级及以上，需要活检，而这部分需活检者有患恶性肿瘤的可能，需要临床医生在临床工作中警惕这部分病例，注重与乳腺彩超检查相结合，减少乳腺疾病的漏诊。 |
| 中文关键词:Bl-RADS-US分级 乳腺癌筛查 敏感性 |
| |
|
|
|
| Abstract:ObjectiveTo investigate the treatments on various low ultrasound nodus and the characterics of prognosis by statistical analysis on the result of consistency of the breast ultrasound with clinical physical examination. MethodsThe study comprised of 1456 subjects (45 to 65 years old) who took the breast cancer screening by ultrosonography from May 2009 to Dec 2009 in Breast Diseases Prevention and Treatment Center of Beijing Haidian Maternal & Child Health Hospital. The results of breast ultrosonography were classified into two groups (diameter≥1cm vs diameter <1cm) by the BI-RADS（Breast Imaging Reporting and Data System）standard of American College of Radiology and were analyzed together with the difference of physical examination and treatment between two groups. ResultsAmong 1456 subjects, total 244 (16.76%) subjects had low ultrasound nodus. The positive rates of physical examination for the low ultrasound nodus with diameter ≥1cm and diameter <1cm by ultrosonography were 28.60% and 7.5% respectively (χ2=6.465, P=0011 with statistical significance). The positive rates of biopsy for the low ultrasound nodus with diameter ≥1cm and diameter <1cm by ultrosonography were 33.30% and 18.80% respectively with statistical significance. ConclusionThe sensitivity of ultrosonography to detect low ultrasound nodus is relative high. The positive rate of physical examination for low nodus with diameter <1cm is low. 18.8% of low ultrasound nodus were classified as grade 4 or upper grade by BI-RADS-US and may have the malignant potential, which need to be confirmed by biopsy. The physicians should pay more attention to these patients who need biopsy and consider together with ultrosonograph, in order to avoid any possible missing diagnosis of breast disorders. |
| keywords:Bl-RADS-US Breast cancer screening Sensitivity |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
