自动全容积扫查系统在健康体检乳腺肿块检查中的应用价值探讨.docVIP

自动全容积扫查系统在健康体检乳腺肿块检查中的应用价值探讨 　　【摘要】 目的：比较自动全容积扫查系统（ABVS）与常规超声（US）在健康体检中乳腺肿块检出情况，探讨ABVS在乳腺体检中的应用价值。方法：收集2013年笔者所在医院行乳腺检查的1748例，其中行ABVS 检查的868例，行常规乳腺超声检查的880例，比较两种检查乳腺肿块检出情况。结果：1748例受检者共计3495个乳房，其中ABVS检查1735个乳房，检出BI-RADS 3～5级肿块497个。行US检查1760个乳房检出BI-RADS 3～5级肿块371个。两组BI-RADS 3～5级、3级、4级肿块检出情况比较，差异有统计学意义（P0.05）。结论：在健康体检中ABVS肿块检出较US检出高，且单纯ABVS扫描与US联合BAVS肿块检出效果相当，ABVS在健康体检中值得推广应用。 　　【关键词】 自动全容积成像； 常规超声； 乳腺肿块检查 　　中图分类号 R445.1 文献标识码 B 文章编号 1674-6805（2015）10-0054-03 　　【Abstract】 Objective：To compare the breast lumps detection condition of automatic volume scanning system（ABVS） and conventional ultrasound（US） in the health examination，in order to explore the application value of ABVS in the breast examination.Method： 1748 cases of breast examination in our hospital in 2013 were collected.There were 868 cases with ABVS examination，and 880 cases with routine breast ultrasound.The results of two ways were compared.Result：There were 3495 breasts in the 1748 cases.1735 breasts with ABVS，BI-RADS 3-5 grade 497 tumors were checked out.1760 breasts with US，BI-RADS 3-5 grade 371 tumors were checked out.BI-RADS 3-5 grade tumors of two groups，there were statistically significant differences（P0.05）.1735 breasts with ABVS，954 breasts with US before ABVS，BI-RADS 3-5 grade 236 tumors were checked out. 　　781 breasts just with ABVS，BI-RADS 3-5 grade 261 tumors were checked out. BI-RADS 3-5 grade tumors of two groups，there were no statistically significant differences（P0.05）.Conclusion：In the health examination，ABVS has a higher tumor detection rate than the US， ABVS and US combined with BAVS have equivalent efficacy in tumor detection rate，ABVS is worthy of to be popularized and applied. 　　【Key words】 Automatic full volume imaging； Conventional ultrasound； Examination of breast tumor detection 　　First-author’s address：Taihu Lake Cadre’s Sanatorium of Jiangsu Province，Wuxi 214086，China 　　doi：10.14033/j.cnki.cfmr.2015.10.026 　　2010年《中国乳腺疾病调查报告》：城市中乳腺癌的死亡率增长了38.91%，在无症状女性人群中，各种乳腺疾病竟达52.4