超声造影联合乳腺钼靶X线对乳腺导管内乳头状瘤的诊断价值

宋倩; 刘景萍; 冯华梅; 聂维奇; 王泱

doi:10.7619/jcmp.20210367

超声造影联合乳腺钼靶X线对乳腺导管内乳头状瘤的诊断价值

Diagnostic value of contrast-enhanced ultrasound combined with molybdenum target X-ray of breast for intraductal papilloma

摘要

摘要:
目的探讨超声造影（CEUS）联合乳腺钼靶X线对乳腺导管内乳头状瘤（IDP）的诊断价值。
方法回顾性分析80例乳腺导管内病变患者临床资料，均予以CEUS、乳腺钼靶X线检查。评估2种方法单独应用和联合应用的检出率、诊断准确率，并分析其受试者工作特性（ROC）曲线。
结果 CEUS诊断准确率为77.50%；乳腺钼靶X线检查诊断准确率为70.00%；CEUS联合乳腺钼靶X线诊断准确率为96.25%。ROC曲线分析显示，CEUS、乳腺钼靶X线、CEUS联合乳腺钼靶X线诊断IDP的曲线下面积（AUC）分别为0.601、0.607、0.663；CEUS联合乳腺钼靶X线诊断的敏感性、特异性均分别高于CEUS、乳腺钼靶X线，差异有统计学意义（P < 0.05）。
结论 CEUS联合乳腺钼靶X线检查对IDP具有较高诊断价值。

Abstract:
Objective To explore the diagnostic value of contrast-enhanced ultrasound (CEUS) combined with molybdenum target X-ray of breast for intraductal papilloma(IDP).
Methods The clinical data of 80 patients with breast intraductal lesions was retrospectively analyzed. All patients were examined by CEUS, and molybdenum target X-ray of breast. The detection rate and accuracy rate of CEUS, molybdenum target X-ray of breast and their combination were evaluated, and their receiver operating characteristic (ROC) curve was analyzed.
Results The accuracy rate of CEUS was 77.50%; the accuracy rate of molybdenum target X-ray of breast was 70.00%; the accuracy rate of CEUS combined with molybdenum target X-ray of breast was 96.25%. ROC curve analysis showed that area under the curve (AUC) of CEUS, molybdenum target X-ray of breast and CEUS combined with molybdenum target X-ray of breast for IDP diagnosis were 0.601, 0.607 and 0.663, respectively, and the sensitivity and specificity of CEUS combined with molybdenum target X-ray of breast were significantly higher than those of CEUS and molybdenum target X-ray of breast alone (P < 0.05).
Conclusion CEUS combined with molybdenum target X-ray of breast has high diagnostic value for IDP detection.

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