超声引导下细针穿刺对BI-RADS4类乳腺肿块的诊断效能的研究
Study on the diagnostic efficacy of ultrasound-guided fine needle aspiration for BI-RADS4 breast lump
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| DOI |
10.12208/j.ijcr.20240459 |
| 刊名 |
International Journal of Clinical Research
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| 年，卷(期) |
2024, 8(11) |
| 作者 |
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| 作者单位 |
1 菏泽市牡丹人民医院普外科 山东菏泽 ;
2 菏泽市牡丹人民医院超声医学科 山东菏泽 ;
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| 摘要 |
通过对比乳腺影像报告及数据系统（Breast Imaging Reporting and Data System，BI-RADS）4类乳腺肿块诊断中超声引导下细针穿刺（Ultrasound-guide Fine Needle Aspiration Biopsy ，US-FNAB）与X线钼靶和术后病理结果，探索US-FNAB对此类疾病的诊断效能。方法 对2019年11月至2021年11月菏泽市牡丹人民医院接诊的80例疑似BI-RADS4类乳腺肿块患者，将术后病理作为本次研究诊断的金标准，对比X线钼靶、US-FNAB诊断准确率、特异度、灵敏度。结果 US-FNAB诊断准确率为95.00%，显著高于X线钼靶准确率（82.50%），c2=32.244，P=0.007。US-FNAB灵敏度为91.84%，也高于X线钼靶83.67%，c2=21.973，P=0.032。两者特异度比较，US-FNAB为100%，X线钼靶为80.65%，差异显著，c2=37.441，P＜0.001。结论 BI-RADS4类乳腺肿块患者采取US-FNAB诊断，准确率、灵敏度、特异度较高。
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| Abstract |
Objective This study evaluates the diagnostic efficacy of Ultrasound-guided Fine Needle Aspiration Biopsy (US-FNAB) compared to X-ray mammography and postoperative pathology in diagnosing BI-RADS category 4 breast lesions. Methods From November 2019 to November 2021, 80 patients with suspected BI-RADS category 4 breast lesions were examined at Heze Peony Peoples Hospital. Postoperative pathology was used as the gold standard to compare the diagnostic accuracy, specificity, and sensitivity of X-ray mammography and US-FNAB. Results US-FNAB achieved a diagnostic accuracy of 95.00%, significantly higher than X-ray mammography at 82.50% (χ2=32.244, P=0.007). The sensitivity of US-FNAB was 91.84%, also surpassing X-ray mammographys 83.67% (χ2=21.973, P=0.032). In terms of specificity, US-FNAB reached 100%, notably higher than X-ray mammography at 80.65% (χ2=37.441, P<0.001). Conclusion US-FNAB demonstrates higher accuracy, sensitivity, and specificity in diagnosing patients with BI-RADS category 4 breast lesions.
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| 关键词 |
乳腺影像报告及数据系统；乳腺肿块；超声引导下细针穿刺；诊断效能
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| KeyWord |
Breast imaging report and data system; Breast lump; Ultrasound guided fine needle puncture; Diagnostic efficacy
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| 基金项目 |
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| 页码 |
43-45 |
段续*,马永胜.
超声引导下细针穿刺对BI-RADS4类乳腺肿块的诊断效能的研究 [J].
国际临床研究杂志.
2024; 8; (11).
43 - 45.