摘要
目的分析超声弹性诊断在乳腺癌患者82例腋窝淋巴结良恶性诊断中的临床应用价值。方法随机选择本院收治的乳腺癌患者腋窝淋巴结良恶性诊断的患者65例,采用常规超声检测和超声弹性成像2种方法进行对比检测,并记录患者超声弹性评分。结果病理结果对比发现,常规超声诊断腋窝淋巴结良恶性的准确度为76.83%(63/82)、敏感度为71.43%(25/35),特异性为80.85%(38/47),阳性预测值为73.53%(25/34),阴性预测值为79.17%(38/48)。超声弹性成像诊断腋窝淋巴结良恶性的准确度为85.34%(70/82)、敏感度85.29%为(29/34),特异性85.42%为(41/48),阳性预测值为85.29%(29/34),阴性预测值为85.42%为(41/48)。2种方法对比显示,超声弹性成像检测的准确度、灵敏度及特异性明显高于常规超声诊断,差异有统计学意义(P<0.05)。结论弹性超声成像能明显提高乳腺癌腋窝淋巴结的良恶性的准确度、灵敏度、特异性,较准确的确定患者的病灶的弹性评分,具有一定的临床诊断价值。
Objective To analyze the clinical value of ultrasonic elastography in the diagnosis of benign and malignant axillary lymph nodes in 82 breast cancer cases.Methods A total of 82 breast cancer patients diagnosed as benign and malignant axillary lymph nodes were selected,and were given routine ultrasonic examination and ultrasonic elastography for contrast,the patient's ultrasonic elastography score was recorded.Results Compared with pathological findings,accuracy,sensitivity,specificity,positive predictive value,and negative predictive value of routine ultrasonic examination were 76.83%(63/82),71.43%(25/35),80.85%(38/47),73.53%(25/34)and 79.17%(38/48),respectively,and were 85.34%(70/82),85.29%(29/34),85.42%(41/48),85.29%(29/34)and 85.42%(41/48),respectively,in ultrasonic elastography.The findings showed that the accuracy,sensitivity and specificity of the ultrasonic elastography were higher than that of the conventional ultrasound(P<0.05).Conclusion Ultrasonic elastography in diagnosis of breast cancer benign and malignant lymph nodes can significantly improve accuracy,sensitivity and specificity,and more accurately confirm elasticity score,so it is of great value in diagnosis.
作者
李秀英
LI Xiuying(Dezhou People′s Hospital,Dezhou,Shandong,253000)
出处
《实用临床医药杂志》
CAS
2018年第3期66-68,共3页
Journal of Clinical Medicine in Practice
关键词
乳腺癌
腋窝淋巴结良恶性
超声弹性
诊断价值
breast cancer
benign and malignant axillary lymph nodes
ultrasonic elastography
diagnostic value
