BI―RADS超声与乳腺X线摄影联合检查在诊断乳腺原位癌中价值分析.docVIP

BI―RADS超声与乳腺X线摄影联合检查在诊断乳腺原位癌中价值分析 　　[摘要]目的 探讨BI-RADS超声与乳腺X线摄影分别单独检查或联合检查在乳腺原位癌中的?\断价值。方法 回顾性分析2013年10月～2016年9月在清远市清新区人民医院及广州医科大学附属第三医院经病理活检已证实为乳腺原位癌的78例女性患者，在病理活检前均采用BI-RADS超声检查与乳腺X线摄影检查，并与病理活检结果对照，比较单独使用BI-RADS超声（B超检查）、单独使用乳腺X线摄影（X线检查）以及两者联合（联合检查）在诊断乳腺原位癌中的检出率、误诊率和敏感度。结果 联合检查的检出率（94.94%）高于BI-RADS超声检查（87.17%）及乳腺X线摄影检查（76.92%），差异有统计学意义（P0.05）。结论 BI-RADS超声联合乳腺X线摄影对乳腺原位癌的检出率更高、敏感度更高，明显优于两者单独应用，值得临床推广。 　　[关键词]BI-RADS超声；乳腺X线摄影；乳腺原位癌；联合 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2017）03（c）-0092-03 　　[Abstract]Objective To explore the value of BI-RADS ultrasound combined with mammography in the diagnosis of breast carcinoma in situ.Methods From October 2013 to September 2016，78 female patients with breast cancer in situ confirmed by biopsy in People′s Hospital of Qingxin District of Qingyuan City and the Third Hospital Affiliated to Guangzhou Medical University were proved by pathology were retrospectively analyzed.All patients were examined by BI-RADS ultrasonography and mammography before biopsy，and compared with the pathological biopsy results，the detection rate，misdiagnosis rate and sensitivity in the diagnosis of breast cancer by using BI-RADS （ultrasound examination），mammography alone （X-ray examination） and the combination of both were compared.Results The detection rate of combined examination （94.94%） was higher than that of BI-RADS ultrasonography （87.17%） and mammography （76.92%），with significant difference （P0.05）.Conclusion BI-RADS ultrasound combined with mammography has higher detection rat and higher sensitivity in diagnosis of breast carcinoma in situ，which is worth to promoting. 　　[Key words]BI-RADS ultrasound；Mammography；Breast carcinoma in situ；Combination 　　乳腺原位癌是乳腺癌中的最早期癌，以导管内原位癌为主，小叶内原位癌少见，近年来其发病率逐年上升[1]。由于该病发生在较早期，患者常不具备典型症状体征，约80%的患者是通过体检或乳腺癌筛查发现[2]。患者较典型体征可表现为：乳腺局部腺体增厚（质硬、无痛、可形成团块结节）、乳头溢液、乳头湿疹样改变等，且反复发作，危害健康[3]。随着乳腺检查手段的不断更新、人们健康体检意识的不断增强，乳腺原位癌检出率较前有所升高，目前临床常用检查手段有乳腺X线摄影、彩超、磁共振以及病理活检，均具有一定诊断价值[4]。近年来国内学者报道，乳腺X线摄影可作为国际推荐的乳腺癌筛查方法，但部分患者检出率仍未达