基于高频超声引导的乳腺包块导丝定位在乳腺病变中的诊断价值

目的 探讨基于高频超声引导的乳腺包块导丝定位在乳腺病变患者中的诊断价值.方法 采用随机抽样方法选择2020年5月至2021年8月云南省中医医院疑似乳腺包块病变患者90例作为对象,患者入院后行高频超声引导的乳腺包块导丝定位诊断,并以病理组织检查结果作为"金标准";计算并分析基于高频超声引导的乳腺包块导丝定位在乳腺病变患者...

Diagnostic Value of Guidewire Localization of Breast Mass Based on High-frequency Ultrasound Guidance in Breast Lesions

  Objective  To evaluate the diagnostic value of high-frequency ultrasound-guided guide wire localization of breast mass in patients with breast lesions.   Methods  Ninety patients with suspected breast mass lesions in Yunnan Hospital of Traditional Chinese Medicine from May 2020 to August 2021 were selected as subjects by random sampling method. After admission, the patients received high-frequency ultrasound-guided guide wire localization diagnosis of breast mass, and the pathological tissue examination results were used as the "gold standard". The diagnostic value of high-frequency ultrasound-guided guide wire localization of breast mass in patients with breast lesions was calculated and analyzed.   Results  All 90 patients with suspected breast mass lesions had complete pathological results. The results showed that 61 patients had benign lesions. 29 cases were malignant lesions. There was no significant difference in the detection rate of ultrasound-guided guide wire localization in fibroadenoma, breast adenosis, intraductal papilloma, invasive ductal carcinoma and invasive lobular carcinoma compared with pathological examination （P > 0.05）. 57 cases of patients with benign breast lesions were diagnosed by ultrasonic-guided guide wire localization of benign breast masses, and the coincidence rate with gold standard diagnosis was 86.67%（53+25） /90], the difference was statistically significant （P < 0.05）. The diagnostic sensitivity and specificity were 86.89% （53/61） and 86.21% （25/29）. Ultrasound guided guide wire localization of benign breast mass was confirmed in 27 cases of breast malignant lesions, and the coincidence rate with gold standard diagnosis was 88.89%（57+23） /90] （P < 0.05）. The diagnostic sensitivity and specificity were 79.31% （23/29） and 93.44% （57/61） respectively.   Conclusion  High frequency ultrasound-guided guide wire localization of breast mass for patients with breast lesions can obtain a high diagnostic rate, high diagnostic sensitivity and specificity, which can guide clinical diagnosis and treatment, and is worthy of promotion and application.