CAJ | 학술논문

目的探讨超声弹性成像在乳腺肿瘤良恶性病变诊断中的应用价值。方法以我院2011年2月～2013年2月所收治的301例乳腺肿瘤患者作为研究对象，对所有患者的553个病灶的超声弹性成像图、随访结果以及术后病理结果进行回顾性分析。结果在本研究中，超声弹性成像的评分标准为：良性病变为1～3分，恶性病变为4～5分，在弹性评分中小于4分为良性病变，大于或等于4分为恶性病变，其准确度为94．59％，特异性为93．10％，敏感性为96．37％，在本研究的良性病变组中，弹性应变率的比值之间存在一定的差异，具有统计学意义（ P＜0．05）。结论在对乳腺肿瘤良恶性病变诊断中，超声弹性成像技术在一定程度上能提高肿瘤病变诊断的准确性、特异性以及敏感性，具有较高的应用价值，可以在乳腺肿瘤诊断中大力推广。
목적탐토초성탄성성상재유선종류량악성병변진단중적응용개치。방법이아원2011년2월～2013년2월소수치적301례유선종류환자작위연구대상，대소유환자적553개병조적초성탄성성상도、수방결과이급술후병리결과진행회고성분석。결과재본연구중，초성탄성성상적평분표준위：량성병변위1～3분，악성병변위4～5분，재탄성평분중소우4분위량성병변，대우혹등우4분위악성병변，기준학도위94．59％，특이성위93．10％，민감성위96．37％，재본연구적량성병변조중，탄성응변솔적비치지간존재일정적차이，구유통계학의의（ P＜0．05）。결론재대유선종류량악성병변진단중，초성탄성성상기술재일정정도상능제고종류병변진단적준학성、특이성이급민감성，구유교고적응용개치，가이재유선종류진단중대력추엄。
Objective To analyze the application of ultrasound elastography in breast tumor of benign and malignant lesions .Methods 301 cases of breast cancer patients in our hospital from 2011 February to 2013 February were treated as the research objects , the ultrasonic elastography , follow-up results and postoper-ative pathological results were retrospectively analyzed in 553 lesions of all the patients .Results In the present study , score standard of ultrasound elasticity imaging:benign lesions was 1 ~3 , 4 ~5 of malig-nant lesions , less than 4 of benign lesions in the elastic score , greater than or equal to 4 points for the ma-lignant lesions , the accuracy rate was 94 .59%, the specificity was 93 .10%, sensitivity was 96 .37%.In the benign group of this study , there were some differences between the ratio of elastic strain rate , with sta-tistical significance, P <0.05.Conclusion In the diagnosis of breast tumor of benign and malignant le-sions, ultrasound elastography technology can improve the diagnosis of tumor of the validity , specificity and sensitivity to a certain extent .It has a higher clinical application value in clinicl , therefore , it can be popu-larized and widely used in clinical diagnosis of breast tumor .