摘要
目的 分析常规超声联合弹性成像技术鉴别诊断乳腺良恶性结节的价值。方法 选择医院2018年2月至2020年6月收治的乳腺结节患者108例,良性病变结节86个,恶性结节53个,使用常规超声、弹性成像技术诊断。比较常规超声、超声弹性成像和联合诊断乳腺癌良恶性结果,分析其诊断价值。结果 常规超声诊断结果与病理结果一致个数是恶性40个、良性71个;常规超声诊断乳腺癌良恶性结果差异比较有统计学意义(P<0.05)。超声弹性成像诊断结果病理结果一致个数是恶性45个、良性79个;超声弹性成像将8个恶性结节诊断为良性,将7个良性结节诊断为恶性;超声弹性成像诊断乳腺癌良恶性结果差异比较有统计学意义(P<0.05)。联合诊断结果病理结果一致个数是恶性49个、良性84个;联合诊断将4个恶性结节诊断为良性,将2个良性结节诊断为恶性;联合诊断乳腺癌良恶性结果差异比较有统计学意义(P<0.05)。联合诊断敏感度96.0%、特异度95.45%、准确率95.68%最高。实验设计不合理,统计方法使用不当,敏感度、特异度、准确率没有结论。结论 常规超声联合弹性成像技术鉴别诊断乳腺良结节能提升鉴恶性结节的价值,其敏感度、特异度、准确较高,推荐使用。
Objective To investigate the value of ultrasound combined with elastography in the differential diagnosis of benign and malignant breast nodules.Methods A total of 108 breast nodules in our hospital from February 2018 to June 2020 were selected,including 86 benign nodules and 53 malignant nodules.The results of simple ultrasound,elastography and combined examination were compared,and the diagnostic value of the three methods was analyzed.Results The results of ultrasound and pathology were consistent in 40 malignant nodules and 71 benign nodules;There were statistical differences in benign and malignant breast nodules by ultrasound(P<0.05).The results of elastography and pathology were consistent in 45 malignant nodules and 79 benign nodules;Elastography misdiagnosed 8 malignant nodules as benign and 7 benign nodules as malignant;There were statistical differences in benign and malignant breast nodules by elastography(P<0.05).The results of combined examination and pathology were consistent in 49 malignant nodules and 84 benign nodules;Combined examination misdiagnosed 4 malignant nodules as benign and 2 benign nodules as malignant;There were statistical differences in benign and malignant breast nodules by combined examination(P<0.05).The combined diagnosis had the highest sensitivity,specificity and accuracy(P<0.05).Conclusion Conventional ultrasound combined with elastography in the differential diagnosis of breast nodules has high clinical value,which is worthy of recommendation.
作者
张丽
Zhang Li(The Second People's Hospital of Xinzheng,Zhengzhou,Henan 451100)
出处
《辽宁医学杂志》
2022年第4期87-89,共3页
Medical Journal of Liaoning
关键词
常规超声
弹性成像技术
诊断
乳腺结节
良性
恶性
价值
Conventional ultrasound
Elastography
Diagnosis
Breast nodules
Benign nodule
Malignant nodule
Value
