摘要
目的分析乳腺癌病灶的超声特点与保乳根治术术后预后的相关性。方法随机选择乳腺癌患者113例,根据保乳术后是否复发将其分成预后良好组(n=83)和不良组(n=30)。保乳术前使用超声检查。探究2组患者超声特征,并分析乳腺癌病灶的超声特点与保乳根治术术后预后的相关性。结果预后良好组和不良组患者超声图像特征中钙化、血流分布、边界、淋巴结转移差异比较有统计学意义(P<0.05),形状、内部回声、后方回声差异比较无统计学意义(P>0.05)。Logistic回归分析结果显示超声特点中细钙化、血流分布、边界模糊、淋巴结转移是影响保乳根治术术后预后的独立预测因素(P<0.05)。结论乳腺癌病灶的超声特点与保乳根治术术后预后有关,其中细钙化、血流分布、边界模糊提示预后不良风险大。
Objective To discuss the ultrasound characteristics of breast cancer lesions and prognosis after radical breast-conserving surgery based on logistic regression analysis.Methods A total of 113 patients with breast cancer were enrolled,and divided into 2 groups according to the presence or absence of recurrence after radical breast-conserving surgery,good prognosis group(n=83)and poor prognosis group(n=30).All patients received ultrasound examinations before surgery.The ultrasound characteristics of the 2 groups was compared.Then the factors influencing the prognosis of patients with radical breast-conserving surgery were screened using logistic regression analysis.Results The ultrasound characteristics including calcifications,blood flow distribution,borders,and lymph node metastases had significant difference between the 2 groups(P<0.05),and no statistically significant differences was found in shape,internal echogenicity,or posterior echogenicity(P>0.05).Logistic regression analysis showed that fine calcification,blood flow distribution,border blurring and lymph node metastasis in ultrasound features were independent predictors of prognosis after radical breast-conserving surgery(P<0.05).Conclusion The ultrasound characteristics of breast cancer lesions are associated with prognosis after radical breast-conserving surgery,moreover,fine calcification,blood flow distribution and blurred borders suggest a high risk of poor prognosis.
作者
郑章增
郭满
相泓冰
ZHENG Zhangzeng;GUO Man;XIANG Hongbing(Nanyang Central Hospital,Nanyang,473000)
出处
《实用癌症杂志》
2022年第1期114-116,共3页
The Practical Journal of Cancer
基金
河南省科技攻关项目(编号:202102310096)。
关键词
乳腺癌病灶
超声
保乳根治术
预后
Breast cancer lesions
Ultrasound
Radical breast-conserving surgery
Prognosis
