乳腺彩超和临床检查的一致性及预后的研究

目的统计分析乳腺彩超发现低回声结节与临床查体的一致性,探讨不同低回声结节处理及预后的特点。方法选取海淀妇幼保健院乳腺病防治中心2009年5~12月间常规采用乳腺彩超进行乳腺癌筛查患者,共1456人,采用美国放射学会(ACR)制定的乳腺影像报告和数据系统(B I-RADS)的标准将乳腺彩超结果进行分级,统计分析乳腺彩超下直径大于≥1cm组及<1cm组两组临床查体以及处理的差别。结果 1456人中乳腺彩超探及低回声结节共244人,占16.76%,乳腺彩超下低回声结节直径大于≥1cm组的临床查体检出率为28.60%,<1cm组临床查体检出率为7.5%,两者比较2χ=19.445,P=0.000,差异有显著意义;乳腺彩超下低回声结节直径大于≥1cm组的活检率33.30%,<1cm组的活检率为18.80%,两者比较2χ=6.465,P=0.011,差异有统计学意义。结论乳腺彩超发现低回声结节的敏感性较高,<1cm的低回声结节临床查体检出率较低,其中有18.80%的结节B I-RADS-US分级为4级及以上,需要活检,而这部分需活检者有患恶性肿瘤的可能,需要临床医生在临床工作中警惕这部分病例,注重与乳腺彩超检查相结合,减少乳腺疾病的漏诊。

Study on the Consistency of the Breast Ultrasound and Clinical Examination and Prognosis

Objective To investigate the treatments on various low ultrasound nodus and the characterics of prognosis by statistical analysis on the result of consistency of the breast ultrasound with clinical physical examination.Methods The study comprised of 1456 subjects(45 to 65 years old) who took the breast cancer screening by ultrosonography from May 2009 to Dec 2009 in Breast Diseases Prevention and Treatment Center of Beijing Haidian Maternal & Child Health Hospital.The results of breast ultrosonography were ...