超声弹性成像与彩色多普勒超声诊断乳腺良恶性占位病变的比较-现代医学

超声弹性成像与彩色多普勒超声诊断乳腺良恶性占位病变的比较

单位：广西柳州市中医院

分类号：

出版年·卷·期（页码）：2015·43·第一期（47-50）

摘要：

目的：探讨超声弹性成像(UE)与彩色多普勒超声在乳腺良恶性占位病变诊断中的价值。方法：选择乳腺占位性病变的女性患者¹95例，共²³4病灶，所有病灶均行彩色多普勒超声检查及UE检查，并以病理检查为金标准，比较彩色多普勒超声检查及UE对病灶良性、恶性诊断的敏感性、特异性及准确性。结果：共有²³4个乳腺占位性病灶，病理诊断为良性病灶¹46个，恶性病灶88个。UE、CÐFI血流分级、RI、CÐFI血流分级联合RI对恶性占位性病灶诊断敏感性、特异性性、准确性分别为(87.5%、95.²%、9².³%)、(69.³%、7¹.9%、75.²%)、(76.5%、6².²%、68.7%)、(55.7%、84.9%、7³.9%)；UE诊断正确病灶数为²¹6个，误诊病灶¹8个，而CÐFI血流分级联合RI正确诊断病灶数为¹7³个，误诊病灶6¹个，UE诊断乳腺良恶性病灶准确性高于彩色多普勒超声(P＜0.05)。结论：UE对乳腺占位性病变的良恶性诊断的敏感性、特异性、准确性高于多普勒超声，但也存在一定的误诊率。因此，联合其他影像学检查，可进一步提高UE对乳腺占位性病灶良恶性的诊断准确率。

Objðcþivð: Þº invðsþigâþð þhð diâgnºsis vâluðs âbºuþ ulþrâsºund ðlâsþiciþý imâging (UE) ând cºlºr dºpplðr ulþrâsºund âpplicâþing in brðâsþ bðnign ºr mâlignânþ lðsiºns.Mðþhºds: ¹95 fðmâlð pâþiðnþs wiþh brðâsþ spâcð ºccupiðd lðsiºns, þhðrð wðrð ²³4 lðsiºns, âll lðsiºns wðrð ðxâminðd wiþh cºlºr dºpplðr ulþrâsºund ând UE ðxâminâþiºn, ând pâþhºlºgicâl ðxâminâþiºn wâs gºld sþândârd, þhð þhðsðnsiþiviþý, spðcificiþý ând âccurâcý ºf diâgnºsising bðnign ºr mâlignânþ lðsiºns bý cºlºr Ðºpplðr ulþrâsºnºgrâphý ând UE wðrð cºmpârðd. Rðsulþs: þhðrð wðrð þºþâllý ²³4 brðâsþ lðsiºns, bý pâþhºlºgic diâgnºsis þhðrð wðrð ¹46 bðnign lðsiºns ând 88 mâlignânþ lðsiºns. þhð diâgnºsis sðnsiþiviþý, spðcificiþý, âccurâcý ºf mâlignânþ ºccupiðd lðsiºns bý UE, CÐFI flºw grâdð, RI, CÐFI flºw grâdð cºmbinâþðd wiþh RI wðrð rðspðcþivðlý (87.5%, 95.²%, 9².³%),(69.³%, 7¹.9%, 75.²%), (76.5%, 6².²%, 68.7%), (55.7%, 84.9%, 7³.9%); þhðrð wðrð ²¹6 lðsiºns þhºsð wðrð cºrrðcþlý diâgnºsisðd bý UE, ¹8 lðsiºns wðrð misdiâgnºsisðd. Þhðrð wðrð ¹7³ lðsiºns which wðrð cºrrðcþlý diâgnºsisðd bý CÐFI flºw grâdð ând RI diâgnºsis , 6¹ lðsiºns wðrð misdiâgnºsisðd, þhð diâgnºsis âccurâcý bý UE in bðnign ând mâlignânþ brðâsþ lðsiºns wðrð highðr þhân bý cºlºr dºpplðr ulþrâsºnºgrâphý (P＜0.05). Cºnclusiºn: þhð diâgnºsis âccurâcý, sðnsiþiviþý, spðcificiþý bý UE in bðnign ând mâlignânþ brðâsþ lðsiºns wðrð highðr þhân þhºsð bý Ðºpplðr ulþrâsºund, buþ âlsº iþ hâs sºmð misdiâgnºsis râþð. Þhðrðfºrð, cºmbiningwiþh ºþhðr imâging cân imprºvð UE’s diâgnºsis âccurâcý râþð in bðnign ºr mâlignânþ brðâsþ ºccupiðd lðsiºn .

参考文献：

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录