摘要
目的:探究彩色多普勒超声联合弹性成像技术对乳腺占位性病变的诊断价值。方法:纳入108例2019年6月-2021年7月于莆田学院附属医院检查的女性乳腺占位性病变患者,所有患者均行彩色多普勒超声联合弹性成像检查。以病理结果作为诊断“金标准”,分析病理、彩色多普勒超声、弹性成像及联合检查在乳腺占位性病变中的结果,以及单项及联合检查诊断恶性乳腺占位性病变的价值,另计算单独与联合检查在乳腺占位性病变诊断中的一致性。结果:108例乳腺占位性病变患者,经病理检查明确存在114个乳腺占位性病变,包括恶性病变52个,良性病变62个;彩色多普勒超声检出恶性病变54个,良性病变60个;弹性成像技术检出恶性病变56个,良性病变58个;联合检查检出恶性病变51个,良性病变63个;联合检查诊断乳腺恶性占位性病变的价值高于彩色多普勒超声、弹性成像技术单项检查,差异有统计学意义(P<0.05)。Kappa检验显示:彩色多普勒超声、弹性成像技术与“金标准”的一致性均尚可(Kappa=0.506、0.684,P=0.000、0.000);联合检查与“金标准”的一致性良好(Kappa=0.947,P=0.000)。结论:彩色多普勒超声联合弹性成像检验在乳腺占位性病变鉴别诊断中应用价值较高,能够及时明确病变性质,且与病理结果一致性较强,为临床诊疗提供可靠依据,值得推广。
Objective:To explore the diagnostic value of color Doppler ultrasonography combined with elastography in breast space-occupying lesions.Method:A total of 108 female patients with breast space-occupying lesions who were examined in Affiliated Hospital of Putian University from June 2019 to July 2021 were included,and all patients underwent color Doppler ultrasonography combined with elastography.Using pathological results as the“gold standard”for diagnosis,the results of pathology,color Doppler ultrasonography,elastography and combined examinations in breast space-occupying lesions were analyzed.The diagnostic value of single and combined examinations in breast malignant space-occupying lesions were analyzed.The consistency of single and combined examinations in the diagnosis of breast space-occupying lesions were also calculated.Result:In 108 patients with breast space-occupying lesions,114 breast lesions were confirmed by pathological examination,including 52 malignant lesions and 62 benign lesions;54 malignant lesions and 60 benign lesions were detected by color Doppler ultrasonography;56 malignant lesions and 58 benign lesions were detected by elastography;51 malignant lesions and 63 benign lesions were detected by combined examination;the values of combined examination in the diagnosis of malignant breast space-occupying lesions were higher than those of single examination,and the differences were statistically significant(P<0.05).Kappa test showed that the consistency between color Doppler ultrasonography,elastography and“gold standard”were acceptable(Kappa=0.506,0.684,P=0.000,0.000);the consistency between combined examination and“gold standard”was good(Kappa=0.947,P=0.000).Conclusion:Color Doppler Ultrasonography combined with elastography examination has high application value in the differential diagnosis of breast space-occupying lesions,which can identify the nature of the lesions in time,and has a strong consistency with the pathological results,provides a reliable basis for clinical diagnosis and treatment,which is worthy of promotion.
作者
黄雪琼
李小燕
谢娟
HUANG Xueqiong;LI Xiaoyan;XIE Juan(Affiliated Hospital of Putian University,Putian 351100,China;不详)
出处
《中外医学研究》
2022年第21期56-59,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
乳腺占位性病变
彩色多普勒超声
弹性成像
诊断效能
Breast space-occupying lesions
Color Doppler ultrasonography
Elastography
Diagnostic performance
