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乳腺癌早期诊断中乳腺超声检查的漏诊、误诊病例特征及影响因素的回顾性分析 被引量:44

Retrospective analysis in characteristics of missed diagnosed and misdiagnosed cases by breast ultrasound examination in early diagnosis of breast cancer and their influencing factors
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摘要 目的回顾性分析乳腺癌早期诊断中乳腺超声检查的漏诊、误诊病例特征及影响因素。方法将乳腺超声检查诊断的乳腺癌假阴性(漏诊)、假阳性(误诊)患者128例纳入本研究,分析漏诊、误诊病例特征,并采用多因素非条件Logistic回归分析探讨乳腺癌早期诊断中漏诊、误诊的独立影响因素。结果 128例患者中,乳腺癌假阴性(漏诊)、假阳性(误诊)患者分别为89例、39例。漏诊和误诊患者血流分布比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,病灶呈周边型血供或者无血流、微钙化、腋窝淋巴结阳性为乳腺癌早期诊断中乳腺超声检查漏诊的独立影响因素(P<0.05)。血流信号、腋下淋巴结肿大、肿块和结节单一、炎性病变均为乳腺癌早期诊断中乳腺超声检查误诊的独立影响因素(P<0.05)。结论病灶呈周边型血供或无血流、微钙化、腋窝淋巴结阳性为乳腺超声检查漏诊的独立影响因素。血流信号、腋下淋巴结肿大、肿块和结节单一、炎性病变为乳腺超声检查误诊的独立影响因素。 Objective To retrospectively analyze the characteristics of missed diagnosed and misdiagnosed cases by breast ultrasound examination in early diagnosis of breast cancer and their influencing factors. Methods A total of 128 false negative(missed diagnosis) and false positive(misdiagnosed) patients for breast cancer diagnosed by breast ultrasound examination were included in this study. Their characteristics of missed and misdiagnosed cases were analyzed, and multivariate unconditional Logistic regression analysis was used to explore the independent influencing factors of missed and misdiagnosis in the early diagnosis of breast cancer. Results Among the 128 patients, there were 89 false negative(missed diagnosis) cases and 39 false positive(misdiagnosed) cases. There was a statistically significant difference in blood flow distribution between missed and misdiagnosed patients(P<0.05). Logistic regression analysis showed that peripheral blood supply or no blood flow in the lesions, microcalcification, and positive axillary lymph nodes of the lesion were independent influencing factors of missed diagnosis by breast ultrasound examination in the early diagnosis of breast cancer(P<0.05). Blood flow signals, axillary lymph node enlargement, single mass and nodule, and inflammatory lesions were all independent factors influencing the misdiagnosis by breast ultrasound in the early diagnosis of breast cancer(P<0.05). Conclusion Peripheral blood supply or no blood flow, microcalcification, and positive axillary lymph nodes are independent influencing factors of missed diagnosis by breast ultrasound examination. Blood flow signals, axillary lymph nodes enlargement, single mass nodules,and inflammatory lesions are independent influencing factors for misdiagnosis by breast ultrasound examination.
作者 周敏 朱峰 王小燕 何小芳 ZHOU Min;ZHU Feng;WANG Xiaoyan;HE Xiaofang(Suzhou Ninth People′s Hospital of Jiangsu Province,Suzhou,Jiangsu,215200)
出处 《实用临床医药杂志》 CAS 2021年第24期35-38,共4页 Journal of Clinical Medicine in Practice
关键词 乳腺癌 早期诊断 乳腺超声检查 漏诊 误诊 影响因素 breast cancer early diagnosis breast ultrasound examination missed diagnosis misdiagnosis influencing factors
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