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超声弹性成像联合彩超诊断乳腺肿块的临床效果

作者:兰方荣

所属单位:湖北省武汉市第一医院体检中心 (湖北 武汉 430030)

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摘要

目的 探讨超声弹性成像联合彩超诊断乳腺肿块的临床效果。方法 选取2015年9月-2016年7月来我院接受乳腺肿块 诊断的患者78例,每例患者均先后进行彩超、超声弹性成像检查,并与术后病理检查结果对照。结果 65例良性肿 块患者,超声弹性成像联合彩超检查符合率为93.85%,肿块内无血流或极少量血流占比78.46%,肿块弹性评分1-2 分占比87.69%;术后病理检查结果诊断13例恶性肿块患者,超声弹性成像联合彩超检查符合率为92.31%,肿块内血 流较丰富或丰富占比69.23%,肿块弹性评分3~5分占比84.62%。结论 临床采取超声弹性成像联合彩超检查,可显 著提高患者乳腺肿块良恶性的诊断准确率。

Objective To explore clinical effect of ultrasonic elastography combined with color Doppler ultrasound in diagnosis of breast mass. Methods 78 cases of patients undergoing breast mass diagnosis in our hospital from September 2015 to July 2016 were selected, and each patient was undergoing color Doppler ultrasound and ultrasonic elastography in turns, and the result was compared with pathological findings after operation. Results Among 65 cases of benign masses, the coincidence rate was 93.85% of ultrasonic elastography combined with color Doppler ultrasound. There was no blood flow or a small amount of blood flow in the mass, accounting for 78.46%, and the elasticity score 1-2 of the mass, accounting for 87.69%. In postoperative pathology diagnosis, there were 13 cases of malignant tumor patients, and coincidence rate was 92.31% of ultrasound elastography combined with color Doppler ultrasound, and mass flow richer or abundant accounted for 69.23%, mass elastic score 3-5, accounting for 84.62%. Conclusion Ultrasonic elastography combined with color Doppler ultrasound can significantly improve diagnostic accuracy of benign and malignant breast lumps.

【关键词】乳腺肿块;超声弹性成像;彩超

【中图分类号】R445.1;R739.9

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.03.003

前言

乳腺肿块是乳腺疾病的症状之一,且临床上90% 以上乳腺肿块属于良性,常见临床表现包括纤维腺 瘤、乳腺增生、乳腺导管内乳头状瘤等。但即便如 此,女性患者在停经前后发生癌变的风险仍很大,可 对女性的生命健康造成严重威胁。因此,及早发现并 进行有效诊断对延长患者生存时间意义重大。目前, 高频彩色超声是鉴别诊断乳腺肿块的首选无创性检查 手段,具有经济简便、可重复性及无辐射等优点,但 存在临床漏误诊的可能。近年来,超声弹性成像技术 逐渐应用于临床诊断领域,有研究认为[1],超声弹性 成像对边界不清、内部回声不均匀及形态不规则的良 恶性肿块具有显著的诊断价值。为证实超声弹性成像 联合彩超诊断乳腺肿块的准确性,本研究将探讨超声弹性成像联合彩超诊断乳腺肿块的临床效果,现报道 如下。