| 袁红梅,刘健,顾鹏,任敏,熊斌,侯令密,刘晓玲.高频超声与乳管镜诊断病理性乳头溢液对比分析[J].中国医学影像技术,2015,31(8):1226~1229 |
| 高频超声与乳管镜诊断病理性乳头溢液对比分析 |
| Comparative analysis of high-frequency ultrasound and fiberoptic ductoscopy in pathological nipple discharge |
| 投稿时间：2014-12-26 修订日期：2015-06-12 |
| DOI：10.13929/j.1003-3289.2015.08.028 |
| 中文关键词: 乳腺肿瘤 乳管镜 超声检查 病理学 |
| 英文关键词:Breast neoplasms Fiberoptic ductoscopy Ultrasonography Pathology |
| 基金项目:川北医学院附属医院院级课题(2012-院-5)。 |
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| 中文摘要: |
| 目的 评价高频超声和乳管镜对病理性乳头溢液的诊断准确率。方法 收集我院收治的122例(146侧病变)病理性乳头溢液患者,全部行高频超声和乳管镜检查,以病理诊断为标准,对比分析两者的诊断准确率。结果 146侧病变中,恶性病变8侧,超声均诊断正确,乳管镜诊断7侧,漏诊1侧;良性病变138侧,超声正确诊断108侧,乳管镜正确诊断116侧;高频超声和乳管镜的诊断准确率分别为79.45%(116/146)、84.25%(123/146),差异无统计学意义(χ2=1.13,P>0.05)。高频超声联合乳管镜检查准确率为95.89%(140/146),与单独高频超声或乳管镜检查比较,差异有统计学意义(χ2=14.00,P<0.01)。结论 高频超声与乳管镜对病理性乳头溢液均有很高的诊断价值,超声对伴乳腺导管扩张的乳头溢液有很好的定性、定位诊断价值,且无创,可作为乳头溢液患者的首选检查方法;对超声检查未发现病因者,必要时再结合乳管镜检查,以减少漏诊。 |
| 英文摘要: |
| Objective To investigate the accuracy of high-frequency ultrasound and fiberoptic ductoscopy in pathological nipple discharge. Methods Totally 122 patients (146 sides) with pathological nipple discharge were examined with fiberoptic ductoscopy and high-frequency ultrasound. The diagnostic accuracy of both methods was compared with pathology. Results In the 146 side of lesions, there were 8 malignant lesions, which were all correct diagnosis with ultrasound while ductoscopy missed 1; and there were 138 benign lesions, of which 108 were correct diagnosis with ultrasound and 116 were correctly diagnosed with ductoscopy. The diagnostic accuracy of high-frequency ultrasound and fiberoptic ductoscopy was 79.45% (116/146) and 84.25% (123/146), which had no statistical significance (χ2=1.13, P>0.05). The diagnostic accuracy of high-frequency ultrasound combined with fiberoptic ductoscopy was 95.89% (140/146), which had statistical difference compared with high frequency ultrasound and fiberoptic ductoscopy (χ2=14.00, P<0.01). Conclusion Both high-frequency ultrasound and fiberoptic ductoscopy have high diagnostic accuracy for pathological nipple discharge. High-frequency ultrasound can qualitatively diagnose and locate the intraductal lesions, which is non-invasive, painless, and can be used as preferred inspection method for pathological nipple discharge. If the ultrasound result is negative, it is necessary to further combine ductoscopy to reduce misdiagnosis. |
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