摘要
目的探讨高频超声结合弹性成像对乳腺实质结节的应用价值。方法选取2014年1月—2015年3月该院收治的238例乳腺实质结节的患者,共263个实质结节,分别采用高频超声和弹性成像评分对每个乳腺实质结节的良恶性进行评价,经手术切除后行组织病理学检查,比较三种方法的检查符合率、特异度以及敏感度等。结果三种方法对乳腺实质结节良恶性评价的准确度比较差异无统计学意义(P>0.05),高频超声结合超声弹性成像评分对乳腺实质结节良恶性评价的阳性似然比明显低于高频超声,高频超声结合超声弹性成像评分对乳腺实质结节良恶性评价的阴性似然比明显低于高频超声和超声弹性成像评分(P<0.05)。结论高频超声结合超声弹性成像评分可提高乳腺恶性结节诊断的敏感度,提高乳腺癌的早期检出率,值得临床推广应用。
Objective To investigate the value of high-frequency ultrasound combined with ultrasound elastography in diagnosis of breast parenchyma nodules.Methods During January 2014 to March 2015 in author＇s hospital,238 cases of breast parenchyma patients with 263 substance nodules were diagnosed by high-frequency ultrasound and elastography score,the compliance rate,specificity and sensitivity of three methods were compared.Results The differences among the three methods of the accuracy of the evaluation of benign and malignant breast nodules substance were not statistically significant（P〉0.05）,positive likelihood ratio of high-frequency ultrasound and elastography score for the evaluation of benign and malignant mammary parenchyma nodules was significantly lower than high frequency ultrasound,negative likelihood ratio of high-frequency ultrasound combined with ultrasound elastography score for the evaluation of benign and malignant mammary parenchyma nodules was significantly higher than the high-frequency ultrasound and elastography score（P〈0.05）.Conclusion High frequency ultrasound combined ultrasound elastography score can improve the sensitivity of diagnosis of malignant breast nodules,improve the early detection of breast cancer.It is worthy of clinical application.
出处
《中国煤炭工业医学杂志》
2016年第1期19-21,共3页
Chinese Journal of Coal Industry Medicine
基金
新疆卫生厅课题(编号:2012211A032)
关键词
高频超声
弹性成像
乳腺实质结节
乳腺癌
High-frequency ultrasound
Elasticity imaging
Breast parenchyma nodules
Breast cancer
