乳腺超声检查质量控制在乳腺肿物诊断中的应用价值

韩琳琳 冷松 刘颖 王健琳

【摘要】目的：探討乳腺超声检查质量控制在乳腺肿物诊断中的应用价值。方法：选取300例行乳腺超声检查并经手术或穿刺活检得到病理结果的患者纳入本研究中，按照乳腺超声检查是否进行质量控制将其分为无质量控制组和质量控制组。将乳腺超声检查结果与病理结果进行对照分析，比较两组超声诊断的敏感性、特异性及诊断准确性。结果：质量控制组中乳腺超声诊断的敏感性、特异性及诊断准确性分别为97.4%，96.6%，97%;无质量控制组中乳腺超声诊断的敏感性、特异性及诊断准确性分别为83.1%，86.6%，84.7%。质控组灵敏性、特异性及诊断准确性均明显高于无质控组，差异显著（P=0.042，P=0.013，P=0.025）。质控组腋窝淋巴结超声诊断的敏感性、特异性、诊断准确性与无质控组比较无统计学意义（均P>0.05）。结论：乳腺超声检查过程中实施质量控制，可以有效提高乳腺结节肿物诊断的敏感性、特异性及诊断准确性，为临床提供高质量影像资料，从而减少漏诊和误诊。

【关键词】乳腺超声;质量控制;乳腺肿物诊断

基金项目：国家卫健委国际合作与交流中心项目，项目编号：IHECC2018-C0032-2，项目名称：乳腺超声标准化存图及结构化报告推广应用

The Value of Quality Control on Breast Ultrasonography in the Diagnosis of Breast masses

Han Linlin ， Liu Ying ， Leng Song

Health management centre，The Second Affiliated Hospital of Dalian Medical University，116027，China

Abstract： Objective：To investigate the value of quality control of breast ultrasound in the diagnosis of breast masses. Methods： A total of 300 patients who underwent breast ultrasound examination and obtained pathological results after surgery or biopsy were included in this study. According to whether breast ultrasound examination was quality controlled or not， they were divided into the non-quality control group and the quality-control group. The results of breast ultrasound were compared with pathological results， and the sensitivity， specificity and accuracy of ultrasound diagnosis were compared between the two groups.Results： The sensitivity， specificity and accuracy of breast ultrasound diagnosis in quality control group were 97.4%， 96.6% and 97%， respectively.In the non-quality control group， the sensitivity， specificity and accuracy of breast ultrasound diagnosis were 83.1%， 86.6% and 84.7%， respectively. The sensitivity， specificity and diagnostic accuracy of the quality control group were significantly higher than those of the non-quality control group（P=0.042，P=0.013，P=0.025）. The sensitivity， specificity and accuracy of ultrasonic diagnosis of axillary lymph nodes in the quality

control group were not statistically significant compared with those in the non-quality control group （all P>0.05）. Conclusion： The implementation of quality control in the process of breast ultrasound can effectively improve the sensitivity， specificity and diagnostic accuracy of breast masses diagnosis， and provide high-quality imaging data for clinical， so as to reduce missed diagnosis and misdiagnosis.

Keywords： ultrasound;Quality control; Diagnosis of breast diseases

超声在乳腺肿物的筛查及诊断中起着十分重要的作用，特别是对于亚洲女性。但超声检查对超声医师的依赖性很强，图像质量和测量方法与超声医生的规范操作程度有着密切联系。为了保证乳腺超声图像质量、提高乳腺肿物诊断的准确率，本研究选取我院乳腺超声检查质量控制前后分别300例图像进行验证，旨在为日后推广乳腺超声检查质量控制提供理论依据。……