中国冶金工业医学杂志

超声实时弹性成像技术联合超声造影在鉴别乳腺肿块良恶性中的临床价值分析

作者：褚静洁赵航一杨芳

单位：鞍山市中心医院辽宁鞍山 114001

分类号：R 445.1

出版年,卷(期):页码：2019,36(4):385-386

摘要：

摘要：目的探讨超声实时弹性成像技术和超声造影在乳腺肿块良恶性病变中的应用价值。方法选取2016年1月至2018年6月在我院乳腺科及肿瘤科就诊的144例患者共195个乳腺肿块，随机分为A、B和C组，每组65个乳腺肿块，A组采用实时弹性成像技术检查，B组采用超声造影技术检查，C组采用实时弹性成像联合超声造影检查，以病理学检查结果为金标准，分析三组检查方法对乳腺肿块诊断灵敏度、特异度及准确率，并对每一种方法进行比较。结果实时弹性成像技术联合超声造影检查诊断敏感性、特异性、准确性明显高于单一检查，三组相比差异具有统计学意义（P＜0.05）。结论采用超声实时弹性成像技术联合超声造影检查对乳腺肿块诊断的结果比单一的检查方法更加准确。
关键词：乳腺肿块；实时弹性成像；超声造影

Abstract：Objective explore the application value of real-time elastography and contrast-enhanced ultrasound in benign and malignant breast masses. Method A total of 195 breast masses from 144 patients in the Department of Breast and Oncology in Anshan Central Hospital from January 2016 to June2018 were randomly divided into group A, group B and group C, with 65 breast masses in each group. Elastography was undertaken in group A, contrast-enhanced ultrasound was used in group B and elastography combined with contrast-enhanced ultrasound was performed in group C. The
pathological examination results were used as the gold standard, and the sensitivity, specificity and accuracy of the three examination methods for breast lumps were analyzed and compared. Results The sensitivity, specificity and accuracy of real-time elastography combined with contrast-enhanced ultrasound
were significantly higher than single examination. The difference between the three groups was statistically significant（P＜0.05）. Conclusion The diagnosis of ultrasound real-time elastography combined with contrast-enhanced ultrasound is more accurate than using a single examination.
Key Words：Breastmass; Real-time elastic imaging; Contrast-enhanced ultrasound

基金项目：

作者简介：

参考文献：

［1］李明慧，李慧敏，贺玲，等. 超声造影和实时组织弹性成像在乳腺肿块鉴别诊断的应用价值［J］. 新疆医科大学学报，2017，40（3）：279-282.
［2］陶玉程. 超声弹性成像技术应变率比值法鉴别诊断乳腺肿块良恶性的价值分析［J］. 大家健康：中旬版，2016，10（5）：208.
［3］杨敏，顾小宁，刘芳，等. 乳腺图像报告数据系统与超声弹性成像在乳腺良恶性病变诊断中的应用［J］. 中华医学杂志，2013，93（39）：3125-3127．
［4］张健. 超声联合检查对乳腺肿块筛查的诊断分析［J］. 中国冶金工业医学杂志，2017，34（1）：101-102.
［5］王华，姜环，李小鹏，等. 超声造影在弹性评分>3分乳腺良性肿块中的诊断价值［J］. 现代肿瘤医学，2015，23（20）：3033-3035．

服务与反馈：

【文章下载】【加入收藏】