| BI-RADS 3级对乳腺病灶患者的诊断结果及影响因素分析 |
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| 引用本文： | 金 燕,郑琳娜,韩 敏,张 晨,邓静静,祝迎锋,徐向辉. BI-RADS 3级对乳腺病灶患者的诊断结果及影响因素分析[J]. 现代生物医学进展, 2019, 19(7): 1270-1273 |
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| 作者姓名： | 金 燕 郑琳娜 韩 敏 张 晨 邓静静 祝迎锋 徐向辉 |
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| 作者单位： | 上海交通大学医学院附属第九人民医院超声科;复旦大学附属华山医院北院超声科;复旦大学附属华山医院北院血透室;上海交通大学医学院附属第九人民医院病理科;复旦大学附属华山医院北院病理科;海门市人民医院普外科 |
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| 基金项目： | 上海市卫生行业科研专项(201002015) |
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| 摘 要： | 目的:回顾性分析超声BI-RADS 3级对乳腺病灶患者的诊断结果及影响因素。方法:选择2014年8月至2017年8月上海交通大学医学院附属第九人民医院和复旦大学附属华山医院北院收治的168例乳腺病灶患者,回顾性分析其影像学资料及病理分析结果。分析BI-RADS 3级对乳腺病灶的阴性诊断率,采用Kim分级对BI-RADS 3级结果进行重新分级,分析影响BI-RADS分级及重新分级的主要因素。结果:168例BI-RADS 3级乳腺病灶中,159例为良性病变,9例为恶性。168例BI-RADS 3级乳腺病灶的阳性预测值为5.4%(9/168),阴性预测值为94.6%(159/168)。病灶数目、年龄、医师年资、病灶大小对BI-RADS 3级良恶性乳腺病灶判断无明显影响,而BI-RADS 3级恶性乳腺病灶较良性病灶更易触诊(P 0.05)。重新分级发现,124例仍为BI-RADS 3级,44例上升至BI-RADS 4级,重新分级恶性病灶的检出率为100%(9/9),假阳性率为20.8%(35/168)。病灶多发、年龄≥40岁更可能评估为BI-RADS 4级(P0.05),医师年资、病灶大小、病灶触及情况对重新分级无明显影响(P0.05)。结论:BI-RADS 3级对乳腺良性病灶有较高的阴性诊断率,重新分级可提高乳腺恶性病灶的检出率,但会造成较高的假阳性率,影响BI-RADS分级的主要因素为病灶可否扪及,影响重新分级的主要因素为患者年龄及乳腺病灶是否多发。
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| 关 键 词： | BI-RADS 3级；乳腺病灶；重新分级 |
| 收稿时间： | 2018-08-14 |
| 修稿时间： | 2018-09-10 |
Diagnostic Results and Influencing Factors of 168 Patients with Ultrasound BI-RADS Grade 3 Breast Lesions |
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| JIN Yan,ZHENG Lin-n,HAN Min,ZHANG Chen,DENG Jing-jing,ZHU Ying-feng and XU Xiang-hui. Diagnostic Results and Influencing Factors of 168 Patients with Ultrasound BI-RADS Grade 3 Breast Lesions[J]. Progress in Modern Biomedicine, 2019, 19(7): 1270-1273 |
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| Authors: | JIN Yan ZHENG Lin-n HAN Min ZHANG Chen DENG Jing-jing ZHU Ying-feng XU Xiang-hui |
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| Affiliation: | Ultrasonography Department, Ninth Peoples Hospital Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, 201999, China,Ultrasonography Department, Northern District of Huashan Hospital Affiliated to Fudan University, Shanghai, 201906, China,Ultrasonography Department, Northern District of Huashan Hospital Affiliated to Fudan University, Shanghai, 201906, China,Hemodialysis Department, Northern District of Huashan Hospital Affiliated to Fudan University, Shanghai, 201906, China,Pathology department, Ninth Peoples Hospital Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, 201999, China,Pathology department, Northern District of Huashan Hospital Affiliated to Fudan University, Shanghai, 201906, China and General Surgery Department, Haimen people''s Hospital, Haimen, Jiangsu, 226100, China |
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| Abstract: | |
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| Keywords: | Ultrasound BI-RADS 3 grade Breast lesion Reclassification |
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