乳腺超声检查中BI-RADS分级诊断标准对乳腺原位癌的诊断-医学信息.PDFVIP

学信息2018 年10 月第31 卷第19 期 Medical Information Oct. 2018 Vol. 31 No.19 疗技术 乳腺超声检查中BI-RADS 分级诊断标准 对乳腺原位癌的诊断价值 英姿 吴建华 渊宁夏回族自治区宁东医院超声科 宁夏 银川 751410冤 摘 要 目的 探究应用 BI-RADS 分级诊断标准来诊断乳腺原位癌的超声诊断价值 以提升超声工作者对规范乳腺诊断标准 认识和运用 提高彩色多普勒超声对乳腺原位癌的诊断能力遥方法 选取2015 年5 月~2018 年5 月在我院通过手术及病理结果 证实为乳腺原位癌的患者37 例 系统回顾了根据病灶所显示出的不同声像 特征 综合分析采用BI-RADS 超声分级诊断 探 讨误诊主要原因遥 结果 37 例乳腺原位癌病例中 超声诊断准确率为75.36%渊28/37冤 4 例未定 5 例误诊 其中1 例误诊为导管 内乳头状瘤 1 例误诊为导管浸润癌 1 例误诊为导管局部扩张 2 例误诊为瘤样增生遥 结论 彩色多普勒超声诊断仪采用BI- RADS 分级诊断方法 较大提高了乳腺原位癌的检出率 联合其它辅助检查可明显提高检出率 在指导临床对患者乳腺疾病的 评估起到重要作用遥 关键词 超声曰BI-RADS 曰乳腺原位癌 中图分类号 R737.9 文献标识码 A DOI 10.3969/j .issn.1006-1959.2018.19.050 文章编号 1006-1959渊2018冤19-0161-02 Diagnostic Value of BI-RADS Grading Diagnostic Criteria for Breast Carcinoma in Situ in Breast Ultrasound GONG Ying-zi,WU Jian-hua (Department of Ultrasound,Ningdong Hospital,Ningxia Hui Autonomous Region,Yinchuan 751410, Ningxia,China) Abstract Obj ective To explore the diagnostic value of BI-RADS grading diagnostic criteria for the diagnosis of breast carcinoma in situ,to improve the ultrasound practitioners understanding and application of standardized breast diagnostic criteria,and to improve the diagnostic ability of color Doppler ultrasound for breast carcinoma in situ.Methods From May 2015 to May 2018, 37 patients with breast carcinoma in situ were confirmed by surgery and pathological findings in our hospital.The different sonographic features of the lesions were systematically reviewed. The comprehensive analysis was performed using BI - RADS ultrasound grading diagnosis to