对比研究自动乳腺全容积扫查与手持超声探头诊断乳腺肿物的价值-影像医学与核医学专业论文.docxVIP

摘要 摘要 万方数据 万方数据 摘要 目的 探讨自动乳腺全容积扫查（ Automated Breast Volume scanner，ABVS）与手 持超声（Hand Held Ultrasound ，HHUS)探头诊断乳腺肿物的价值。 方法 回顾性分析我院 191 例接受两种检查方法的患者，比较两种检查方法的病 灶检出率。然后筛选出两种检查方法对患者病灶数检查结果一致的病例数，共 96 例 124 个病灶，去除由于各种原因未获得病理结果的病例，剩余 83 例共 104 个病灶，以病理诊断为最后的金标准，比较两种方法对乳腺肿物的检查结果。 结果 ABVS 诊断有乳腺肿物的有 134 例，检出率为 70.2%，而 HHUS 诊断的有 113 例，检出率为 59.2%；ABVS 在诊断乳腺恶性病灶的敏感度为 71.1%，特异 度为 88.1%，准确率为 80.8%，而 HHUS 在诊断乳腺恶性病灶的敏感度为 61.7%， 特异度为 82.5%，准确率为 73.1%。 结论 ABVS 在检出率方面且在对乳腺恶性病灶诊断的敏感性、特异性以及准确性 方面均要优于 HHUS,适合在临床上广泛应用。ABVS 是一种全新的乳腺超声检 查方法，其扫查过程客观，无操作者依赖，因其操作流程简单及扫查更全面而 在乳腺肿物的检查中发挥着更大的意义。 [关键词] 自动乳腺全容积扫查；手持超声；乳腺肿物；诊断 II Ab Abstract ABSTRACT Purpose： To study the comparison research between the automated breast volume scanner and the handheld ultrasound in breast neoplasms diagnose. Method ： review patients who accepted both exam methods in 191 cases and compare the nidus detection rate, then select 96 cases totally 124 nidus which have the same detection rate result. Remove the cases that can’t obtain the pathology result due to different kinds of reasons we have 83 cases 104 nidus left. Regard the pathology diagnose as the standard and compare the exam result to breast neoplasms with two methods. Result： 134 cases confirmed to have nidus with the method of ABUS, the detect rate is 70.2% while 113 cases confirmed by HHUS with 59.2% detected rate. The sensitive rate of diagnosing breast malignant nidus in ABVS is 71.1% and specificity rate is 88.1% as well as 80.8% in accuracy. However when applying HHUS the accordingly result is 61.7%, 82.5 and 73.1%. Conclusion： ABVS is performing better than HHUS in detected rate as well as the sensitivity, specificity and accuracy in diagnosing the breast malignant nidus. So ABVS is suitable to be regularly applied in clinic. ABVS objectively scanning process ， human factors is avoided． It is a completely new method of ultrasound examination in breast ． This kind of new examination will simplify the work flow and ABVSscanning．It is importancel