【摘要】 目的:评价非触摸性乳腺疾病(NPBLs)超声诊断分级的应用。方法:选取158例临床触诊阴性并接受超声体表定位患者的影像学资料,采用欧洲分级系统进行分级,并与切取活检后的病理结果进行比较。结果:158例患者病理确诊为良性124例,恶性34例。病理确诊为乳腺癌的34例患者中,超声诊断为正常/良性的3例(8.8%),交界性病变2例(5.9%),可疑/符合恶性29例(85.3%),乳腺X线诊断为正常/良性12例(35.3%),交界性9例(26.5%),可疑/符合恶性13例(38.2%)。超声的敏感性显著高于乳腺X线的敏感性(94.1%vs38.2%,P=0.000)。超声诊断的特异性和乳腺X线差异无统计学意义(96.0%vs91.1%,P=0.118)。结论:对于NPBLs的影像学诊断,超声起到较好的诊断作用。更多还原

【Abstract】 OBJECTIVE: To evaluate the value of diagnostic classification and skin-marker localization of ultrasonography in nopalpable breast lesions(NPBLs).METHODS: A total of 158 patients with NPBLs were classified by european system for breast imaging and localized to surgical excision with skin-marker by ultrasonography.Clinical data were compared with pathological findings.RESULTS: There were 124 benign lesions and 34 malignant lesions in the final pathological diagnosis.In 34 malignant lesions,there was benign lesions 3(8.8%),broderline lesions 2(5.9%) diagnosed by ultra sonography,which were 12(35.3%),9(26.5%) and 13(38.2%) respectively,diagnosed by x-ray.malignant lesions 29 dUltrasonograph appeared to be more sensitive than mammography(94.1% vs 38.2%,P=0.000).There was no significant difference in specificity between them(96.0% vs 91.1%,P=0.118).CONCLUSIONS: Ultrasound assessment improves breast cancer detection in women with NPBLs.更多还原