摘要
目的比较彩色多普勒超声与弹性成像对乳腺肿块良恶性的鉴别诊断价值。方法选取经过手术病理证实的乳腺肿块患者55例,比较彩色多普勒超声与弹性成像对乳腺良恶性的诊断价值。结果彩色多普勒超声诊断乳腺良恶性肿块的敏感性为87.50%,特异性为84.62%,正确指数为0.7212,误诊率15.38%,漏诊率12.50%,诊断符合率85.45%;弹性成像硬度评分诊断乳腺恶性病变的敏感性为85.00%,特异性为91.43%,正确指数为0.7643,误诊率8.57%,漏诊率15.00%,诊断符合率89.09%,两种方法诊断效能比较差异无统计学意义。结论彩色多普勒超声与超声弹性成像评分诊断乳腺肿块良恶性均具有较高的敏感性及特异性,可作为诊断乳腺肿瘤良恶性的重要手段。
Objective To assess differential diagnosis value of benign and malignant breast tumors using color Doppler ultrasound and ultrasonic elastography（UE）. Methods Fifty-five patients with breast tumors confirmed by surgical pathology were selected. The diagnosis value of benign and malignant breast tumors using color Doppler ultrasound and UE were compared.Results The sensitivity,specificity,right index,misdiagnosis rate,omission diagnostic rate and diagnose accordance rate using color Doppler ultrasound in the diagnosis of benign and malignant breast tumors were 87.50%,84.62%,0.7212,15.38%,12.50%and 85.45%,respectively. The sensitivity,specificity,right index,misdiagnosis rate,omission diagnostic rate and diagnose accordance rate using UE hardness grade in the diagnosis of benign and malignant breast tumors were 85.00%,91.43%,0. 7643,8. 57 %,15. 00 % and 89. 09 %,respectively. There was no significant difference between the two methods.Conclusion Color Doppler ultrasound and UE grading have higher sensitivity and specificity for diagnosing benign and malignant breast tumors,which can be used as important means to diagnose benign and malignant breast tumors.
出处
《临床超声医学杂志》
2014年第9期634-636,共3页
Journal of Clinical Ultrasound in Medicine
基金
乌鲁木齐市科技局科研专项基金(Y121310017)
