摘要
目的 探究超声联合超声弹性成像(UE)诊断乳腺癌的临床价值。方法 选取2016年2月-2017年2月于我院就诊并行超 声检查的112例疑似乳腺癌患者为受试对象,所有患者均于术前行超声检查及UE检查,术后行病理检查。观察患者 超声及UE图像特点,以病理检查为“金标准”,分析比较超声、UE单独及联合使用诊断乳腺癌的准确性。结果 良 性、恶性病灶在肿块形态、边界、内部回声类型、有无微小钙化等超声影像特征方面具有显著差异(P﹤0.05);超声 联合UE检查对乳腺病灶的恶性检出率、良性检出率及总准确率均高于单一超声或UE检查(P﹤0.05)。结论 超声联合 UE可提高常规超声诊断乳腺癌的准确性。
Objective To explore the clinical value of of ultrasound combined with ultrasonic elastography(UE) in the diagnosis of breast cancer. Methods From February 2016 to February 2017, 112 patients with suspected breast cancer who received ultrasound examination in our hospital were selected as the research subjects. All the patients were given not only ultrasound and UE examination before operation, but also pathological examination after operation. The characteristics of ultrasound and UE images were observed, the pathological examination was taken as the "gold standard" , and the accuracy rates of single and combined uses of ultrasound and UE in the diagnosis of breast cancer were compared and analyzed. Results There were significant differences in the shapes of tumor, border, internal echo types, microcalcification and other ultrasound imaging features of benign and malignant lesions (P<0.05), the detection rates of benign and malignant lesions and total accuracy rate of ultrasound combined with UE examination were all higher than those of single ultrasound or UE examination (P<0.05). Conclusion Ultrasound combined with UE can improve the accuracy of conventional ultrasound in the diagnosis of breast cancer.
【关键词】超声;UE;乳腺癌
【中图分类号】R737.9
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.02.018
前言
乳腺癌是一种发病率较高且严重危害妇女生命 健康的恶性肿瘤疾病,早发现、早治疗有利于患者 预后。组织活检行病理检查是乳腺癌诊断的“金标 准”,但由于活检是有创检查,会造成患者痛苦,因 此寻找灵敏有效的影像学诊断方式是临床研究的重点 课题。随着超声技术在妇产科检查中的广泛应用,乳 腺癌的早期诊断率也逐渐提高,但仍存在一定局限 性。超声弹性成像(UE)是一种依据不同组织的弹性系 数不同这一原理而进行显像的新型超声诊断技术,可 对常规超声无法探测的肿瘤进行研究,现阶段可作为 一种辅助手段应用于乳腺癌诊断中[1]。本研究旨在探 究超声联合UE诊断乳腺癌的准确性,现报道如下。
罕少疾病杂志
第26卷, 第 2 期
2019年03月
相关文章