乳腺癌早期筛查应用乳腺超声的漏诊、误诊病例特征及相关危险因素分析

doi:10.7517/issn.1674-0475.210218

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (5): 736-740.DOI: 10.7517/issn.1674-0475.210218

乳腺癌早期筛查应用乳腺超声的漏诊、误诊病例特征及相关危险因素分析

宋玉娟¹, 刘胜², 刘美华³, 朱丽娜⁴

1. 菏泽医学专科学校超声诊断教研室, 山东菏泽 274000;
2. 菏泽医学专科学校解剖教研室, 山东菏泽 274000;
3. 菏泽医学专科学校附属医院老年病科, 山东菏泽 274000;
4. 菏泽医学专科学校附属医院超声科, 山东菏泽 274000

收稿日期:2021-02-26 发布日期:2021-09-13
通讯作者: 宋玉娟

Analysis of the Characteristics and Influencing Factors of Missed and Misdiagnosed Cases of Breast Cancer Screening by Breast Ultrasonography

SONG Yujuan¹, LIU Sheng², LIU Meihua³, ZHU Lina⁴

1. Department of Ultrasound Diagnosis, Heze Medical College, Heze 274000, Shandong, P. R. China;
2. Department of Anatomy, Heze Medical College, Heze 274000, Shandong, P. R. China;
3. Department of Geriatrics, Affiliated Hospital of Heze Medical College, Heze 274000, Shandong, P. R. China;
4. Department of Ultrasound, Affiliated Hospital of Heze Medical College, Heze 274000, Shandong, P. R. China

Received:2021-02-26 Published:2021-09-13

摘要/Abstract

摘要： 分析乳腺癌早期筛查应用乳腺超声诊断的漏诊、误诊病例特征及相关危险因素。采用方便抽样法选取行乳腺超声检查的2548例乳腺肿块患者，分析其中假阴性（漏诊）、假阳性（误诊）的132例患者漏诊、误诊特征。乳腺超声诊断乳腺癌的漏诊、误诊与患者年龄、病灶数量无关（P>0.05）；病灶最大径、是否合并良性病灶、是否合并炎性病变、超声图像边缘、微钙化、腋下淋巴结回声、血流信号是否明显、病灶结构复杂多样为乳腺癌早期筛查应用乳腺超声诊断的漏诊、误诊的独立危险因素（P<0.05）。乳腺癌早期筛查应用乳腺超声诊断的漏诊、误诊受多种因素的作用，临床在诊断时应尤其关注，以降低漏诊、误诊率。

关键词: 乳腺癌, 早期筛查, 乳腺超声, 漏诊、误诊

Abstract: The characteristics of early diagnosis of breast ultrasound in breast cancer were analyzed. The results showed that the diagnosis of breast mass was performed in 2548 cases of breast mass by convenient sampling method. The characteristics of misdiagnosis and missed diagnosis were analyzed in 132 cases of false negative (missed diagnosis) and false positive (misdiagnosis). The missed diagnosis and misdiagnosis of breast cancer by breast ultrasound were not related to the age of patients and the number of lesions (P>0.05). The independent risk factors of missed diagnosis and misdiagnosis in early screening of breast cancer were the maximum diameter of lesion, benign lesion, inflammatory lesion, edge of ultrasound image, microcalcification, axillary lymph node echo, obvious blood flow signal, complex and diverse lesion structure (P<0.05). Early screening of breast cancer using breast ultrasound diagnosis of missed diagnosis, misdiagnosis by a variety of factors, clinical diagnosis should pay special attention to reduce missed diagnosis, misdiagnosis rate.

Key words: breast cancer, early screening, breast ultrasound, missed diagnosis and misdiagnosis

宋玉娟, 刘胜, 刘美华, 朱丽娜. 乳腺癌早期筛查应用乳腺超声的漏诊、误诊病例特征及相关危险因素分析[J]. 影像科学与光化学, 2021, 39(5): 736-740.

SONG Yujuan, LIU Sheng, LIU Meihua, ZHU Lina. Analysis of the Characteristics and Influencing Factors of Missed and Misdiagnosed Cases of Breast Cancer Screening by Breast Ultrasonography[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(5): 736-740.

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乳腺癌早期筛查应用乳腺超声的漏诊、误诊病例特征及相关危险因素分析

Analysis of the Characteristics and Influencing Factors of Missed and Misdiagnosed Cases of Breast Cancer Screening by Breast Ultrasonography

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