论著-头颈部
超声及MRI在乳腺 肿块诊断中的应用
作者:陈小敏1 周 峰2
所属单位:1.南京医科大学附属苏州医院超声 科 (江苏 苏州 215000) 2.江苏省苏州市苏州科技城医院超 声科 (江苏 苏州 215153)
PDF摘要
目的 探讨和对比分析超声及核 磁共振成像(MRI)在乳腺肿块诊断中的临 床价值。方法 回顾性分析苏州市立医院 东区和苏州科技城医院(苏州市立医院西 区)收治的78例乳腺肿块患者(乳腺肿块 78个)超声及MRI检查资料,分别与肿块 病理检查结果相比较,探讨两种诊断方 法的临床价值。结果 78例乳腺肿块中, 经病理检查确认良性肿块36例,恶性肿 块42例;超声诊断乳腺肿块良、恶性的 灵敏度、特异度、阳性预测值、阴性预 测值、正确率与MRI比较,均无显著差异 (P>0.05)。结论 超声及MRI在乳腺肿块 良、恶性诊断中的正确率均较高,两者 各有优缺点,都具有一定的临床应用价 值。
Objective To explore and compare the clinical values of ultrasound and magnetic resonance imaging (MRI) in the diagnosis of breast masses. Methods The ultrasound and MRI data of 78 cases of breast mass patients (78 breast masses) treated in the East of Suzhou Municipal Hospital and Suzhou Science & Technology Town Hospital (the West of Suzhou Municipal Hospital) were retrospectively analyzed, and the data were compared with pathological examination results respectively, and the clinical values of two diagnostic methods were explored. Results There were 36 cases of benign masses and 42 cases of malignant masses confirmed by pathological examination of the 78 breast masses. The sensitivity, specificity, positive predictive value and negative predictive value and correct rate were not significantly different from those by MRI diagnosis (P>0.05). Conclusion Ultrasound and MRI have high correct rate in the diagnosis of benign or malignant breast masses, and the two have their own advantages and disadvantages and have certain clinical application values.
【关键词】乳腺;肿块;超声;核磁共 振成像(MRI)
【中图分类号】R737.9;R445.1;R445.2
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2018.02.029
前言
近年来,乳腺肿块诊断方法的多样性明显提高了乳腺恶性肿瘤的 检出率,超声是通过观察乳腺肿块的形态学特征和血流特点来评价肿 块的性质,但仅凭此具有一定局限性,可能导致漏诊或误诊[1]。核磁 共振成像(MRI)能清楚观察到肿块血流灌注、周围新生血管及其恶性化 进程,这更利于临床针对性治疗,也提高患者愈后[2]。本研究选取苏 州市立医院东区和苏州科技城医院(苏州市立医院西区)78例乳腺肿块 患者为研究对象,比较78个肿块超声及MRI检查结果与病理检查结果的 符合度,并探讨两种诊断方法的临床价值,现报道如下。
中国CT和MRI杂志
第16卷, 第 2 期
2018年02月
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