摘要
目的对比乳腺断层合成(DBT)与全数字化乳腺摄影(FFDM)对乳腺结构扭曲病变的诊断价值。方法收集经DBT+FFDM发现乳腺结构扭曲病变并具有病理结果的132例患者的资料,分析DBT与FFDM两种检查方法对乳腺结构扭曲病变的检出率、准确率、特异度、敏感度、阳性预测值及阴性预测值的差异。结果 132例病变中,非致密性乳腺43例,致密性乳腺89例,致密性乳腺中FFDM对结构扭曲病变的检出率为77. 5%,显著低于DBT的检出率100. 0%(P <0. 01);在单纯乳腺结构扭曲中,DBT的诊断敏感度为63. 2%,显著高于FFDM诊断敏感度28. 6%(P <0. 05);DBT对伴肿块结构扭曲的诊断特异度69. 0%、阴性预测值80. 0%,显著高于FFDM的诊断特异度28. 6%、阴性预测值46. 2%(P <0. 05)。结论相较FFDM检查,DBT检查对乳腺结构扭曲病变具有更高的诊断价值。
Objective To compare the value of digital breast tomosynthesis(DBT)and full field digital mammography(FFDM)in the diagnosis of distortion of breast structure.Methods Clinical materials of 132 patients with pathologically confirmed distortion of breast structure detected by DBT and FFDM were collected.The differences in detection rate,accuracy,specificity,sensitivity,positive predictive value and negative predictive value between DBT and FFDM in diagnosis of distortion of breast structure were analyzed.Results Among 132 patients,there were 43 cases of uncompacted breast and 89 cases of compacted breast.The detection rate of FFDM for distortion of breast structure in cases with compacted breast was 77.5%,which was significantly lower than 100.0%of DBT(P<0.01).For the diagnosis of simple structural distortion of breast,the diagnostic sensitivity of DBT was 63.2%,which was significantly higher than 28.6%of FFDM(P<0.05).For the diagnosis of lesions with mass structure distortion,the diagnostic specificity of DBT was 69.0%,and negative predictive value was 80.0%,which were significantly higher than 28.6%and 46.2%of FFDM(P<0.05).Conclusion DBT shows a greater value than FFDM in the diagnosis of distortion of breast structure.
作者
凌利
姜津津
卞方云
季亚平
LING Li;JIANG Jinjin;BIAN Fangyun;JI Yaping(Yangzhou Maternal and Child Health Care Hospital Affiliated to Medical College of Yangzhou University,Yangzhou,Jiangsu,225002)
出处
《实用临床医药杂志》
CAS
2020年第5期32-35,59,共5页
Journal of Clinical Medicine in Practice
关键词
乳腺结构扭曲
全数字化乳腺摄影
乳腺断层合成
distortion of breast structure
full field digital mammography
digital breast tomosynthesis
