摘要
目的研究超声弹性成像技术联 合彩色多普勒超声进行乳腺肿瘤的诊断价 值。方法 对357例乳腺肿瘤患者展开研 究,采用两种不同的检查方式进行诊断, 行超声弹性成像技术诊断的为对照组,行 超声弹性成像技术联合多普勒彩色超声 检查诊断的为研究组,对比两种检查方 式的诊断的准确性。结果 研究组与病理 诊断比较无明显差异。对照组诊断灵敏 性、准确率、特异性、误诊率及漏诊率与 病理诊断比较χ2=13.83、8.29、5.10、 10.47、7.21,P<0.05,差异有统计学意 义。两组检查方式诊断灵敏性、准确率、 特异性、误诊率及漏诊率与病理诊断比较 χ2=3.88、4.69、5.10、4.01、4.66,P <0.05,差异有统计学意义。结论 超声 弹性成像技术联合多普勒彩色超声对临床 乳腺肿瘤患者进行诊断准确率、特异性以 及灵敏度均较超声弹性成像诊断高,促进 临床对肿块良恶性的判断,有利于临床对 乳腺肿瘤的尽早确诊,保证疗效,具有较 高的临床使用价值。
Objective This paper is to discuss diagnostic value of ultrasonic elastography combining color Doppler ultrasonography on breast tumor. Methods Three hundred and fifty seven patients with breast cancer were studied, two different approaches were applied to diagnose, patients in the control group were subject to ultrasonic elastography, and patients in the research group were subject to ultrasonic elastography technology combining color Doppler ultrasonography examination and diagnosis, and diagnostic accuracies of two examination modes were compared. Results There was no obvious difference in pathological diagnosis on patients in the research group. The comparison in diagnosis sensitivity, accuracy, specificity, misdiagnosis rate, missed diagnosis and pathological diagnosis satisfied X2=13.83, 8.29, 5.10, 8.29 and 5.10 (P<0.05), and differences were statistically significant. The comparisons in diagnosis sensitivity, accuracy, specificity, misdiagnosis rate, missed diagnosis and pathological diagnosis of patients in two group satisfied X2=3.88, 4.69, 5.10, 4.69 and 5.10 (P < 0.05) respectively, and the differences were statistically significant. Conclusions Ultrasonic elastography combining color Doppler ultrasonography delivers high ultrasonography elasticity imaging diagnosis in diagnosis accuracy, specificity and sensitivity on patients with breast cancer, promotes clinical judgment on benign and malignant mass, makes for clinical diagnosis on breast tumor as early as possible, and guarantees the efficacy, posing high value of clinical services.
【关键词】乳腺肿瘤;超声弹性成像技术;彩色多普勒超声
【中图分类号】R737.9
【文献标识码】A
【DOI】10.3969/j.issn.1672- 5131.2015.03.16
前言
乳腺癌在中国女性恶性肿瘤中位居第二,早期对此病的发现,并 进行确诊,有助于后期临床治疗方案的制定,提高患者生存率并改善 其生活质量[1]。当今临床应用于乳腺检查的方式多种多样,最常见的 为乳腺触诊、超声、乳腺钼靶、乳腺红外线扫描等,超声检查凭借自 身特有优势,如灵敏度高、特异性高、准确率高等,广泛应用于临床 检查中,超声弹性成像技术可对乳腺组织进行定征分析,既保证临床 诊断的准确性,又减少穿刺等为患者带来的痛苦,降低检查费用。其 与彩色多普勒超声联合应用对乳腺癌的早期诊断具有重要意义[2]。为 探索临床诊断准确性较高、安全有效的检查方式,笔者采用超声弹性 成像技术以及彩色多普勒超声对357例乳腺肿瘤患者进行确诊,取得较 满意效果,现展述如下。
中国CT和MRI杂志
第13卷, 第 3 期
2015年03月
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