摘要
目的:探究彩超联合超声E成像在鉴别乳腺肿块良恶性中的应用价值。方法:回顾性分析南阳市第一人民医院2019年8月—2021年2月收治的138例乳腺肿瘤患者临床资料及超声图像,所有患者均接受彩超和超声E成像检查。经手术病理学确诊,比较彩超检查、彩超联合超声E成像鉴别患者良恶性的效能。结果:病理学检测结果显示,138例乳腺肿瘤患者共检测出146枚肿瘤,其中良性126枚(86.30%),恶性20枚(13.70%)。经彩超诊断,146枚肿瘤中良性肿瘤104枚(71.23%),恶性肿瘤42枚(28.77%),鉴别良恶性的敏感度、特异度、阳性预测值、阴性预测值、准确度分别为76.98%、65.00%、93.27%、30.95%、75.34%;彩超联合超声E成像诊断146枚肿瘤中,良性肿瘤123枚(84.25%),恶性肿瘤23枚(15.75%),鉴别良恶性的敏感度、特异度、阳性预测值、阴性预测值、准确度分别为91.27%、60.00%、93.50%、52.17%、86.99%;彩超联合超声E成像鉴别诊断乳腺肿瘤良恶性的敏感度、准确度均高于彩超检查,差异有统计学意义(χ^(2)=9.628、6.474,P<0.05);两种方法鉴别诊断乳腺肿瘤良恶性的特异度、阳性预测值、阴性预测值比较,差异无统计学意义(χ^(2)=0.107、0.005、2.828,P>0.05)。结论:彩超联合E成像在乳腺肿瘤患者肿瘤良恶性诊断中效能较高,二者联合有一定互补作用,能及时判断患者病情。
Objective:To investigate the value of color ultrasound combined with ultrasound E imaging in identifying benign and malignant breast masses.Methods:Clinical data and ultrasound images of 138 patients with breast tumors admitted to the hospital from August 2019 to February 2021 were retrospectively analyzed.All patients underwent color ultrasound and ultrasound E imaging,and the diagnosis was confirmed by surgical pathology.The efficacy of color ultrasonography and color ultrasonography combined with ultrasound E imaging in identifying benign and malignant in patients was compared.Results:Pathological tests showed that 146 tumors were detected in 138 patients with breast tumors,of which 126(86.30%)were benign and 20(13.70%)were malignant.As diagnosed by ultrasound,of the 146 tumors,104(71.23%)were benign and 42(28.77%)were malignant,and the sensitivity,specificity,positive predictive value,negative predictive value,and accuracy in identifying benign and malignant were 76.98%,65.00%,93.27%,30.95%,and 75.34%,respectively.Of the 146 tumors diagnosed by color ultrasound combined with ultrasound E imaging,123(84.25%)were benign and 23(15.75%)were malignant,with a sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of 91.27%,60.00%,93.50%,52.17%,and 86.99%,respectively.The sensitivity and accuracy of color ultrasound combined with ultrasound E imaging for differential diagnosis of benign and malignant breast tumors were higher than that of color ultrasound examination,and the difference was statistically significant(χ^(2)=9.628,6.474;P<0.05).There was no statistically significant difference in the specificity,positive predictive value,and negative predictive value of the two methods for the differential diagnosis of benign and malignant breast tumors(χ^(2)=0.107,0.005,2.828;P>0.05).Conclusion:Color ultrasound combined with E imaging has high efficacy in the diagnosis of tumor benignity and malignancy in patients with breast tumors,and the combination of the two has a certain complementary role,which can determine the patient’s condition in a timely manner.
作者
肖佳
Xiao Jia(Ultrasonography Department,Nanyang First People’s Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2024年第5期577-579,共3页
Heilongjiang Medical Journal
关键词
乳腺肿瘤
彩超
超声E成像
诊断效能
Breast tumor
Color ultrasound
Ultrasound E imaging
Efficiency of diagnosis
