中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
3期
45-46,47
,共3页
超声弹性成像%彩色多普勒超声%乳腺小结节%鉴别诊断
超聲彈性成像%綵色多普勒超聲%乳腺小結節%鑒彆診斷
초성탄성성상%채색다보륵초성%유선소결절%감별진단
Ultrasound elasticity imaging%Color doppler ultrasound%Mammary gland nodules%The differential diagnosis
目的:探讨超声弹性成像在乳腺微小结节良恶性鉴别诊断中的应用价值。方法:对102例患者的128个乳腺微小实性结节(直径≤10 mm)进行二维彩色多普勒超声扫查,同时进行弹性成像。测量肿块组织与周围组织弹性应变率比值,对照术后病理结果进行回顾性分析乳腺良、恶性微小结节的超声弹性成像特点。结果:128个结节中,良性99个,恶性29个,良、恶性乳腺结节弹性应变率比值分别为(2.16±1.29)和(6.85±4.07),两者差异有统计学意义(P<0.05)。二维彩色多普勒超声结合弹性应变率比值诊断恶性结节的准确率为92.33%。结论:以二维彩色多普勒超声为基础,结合弹性成像技术,在乳腺良、恶性微小结节的鉴别诊断中具有较高的临床应用价值。
目的:探討超聲彈性成像在乳腺微小結節良噁性鑒彆診斷中的應用價值。方法:對102例患者的128箇乳腺微小實性結節(直徑≤10 mm)進行二維綵色多普勒超聲掃查,同時進行彈性成像。測量腫塊組織與週圍組織彈性應變率比值,對照術後病理結果進行迴顧性分析乳腺良、噁性微小結節的超聲彈性成像特點。結果:128箇結節中,良性99箇,噁性29箇,良、噁性乳腺結節彈性應變率比值分彆為(2.16±1.29)和(6.85±4.07),兩者差異有統計學意義(P<0.05)。二維綵色多普勒超聲結閤彈性應變率比值診斷噁性結節的準確率為92.33%。結論:以二維綵色多普勒超聲為基礎,結閤彈性成像技術,在乳腺良、噁性微小結節的鑒彆診斷中具有較高的臨床應用價值。
목적:탐토초성탄성성상재유선미소결절량악성감별진단중적응용개치。방법:대102례환자적128개유선미소실성결절(직경≤10 mm)진행이유채색다보륵초성소사,동시진행탄성성상。측량종괴조직여주위조직탄성응변솔비치,대조술후병리결과진행회고성분석유선량、악성미소결절적초성탄성성상특점。결과:128개결절중,량성99개,악성29개,량、악성유선결절탄성응변솔비치분별위(2.16±1.29)화(6.85±4.07),량자차이유통계학의의(P<0.05)。이유채색다보륵초성결합탄성응변솔비치진단악성결절적준학솔위92.33%。결론:이이유채색다보륵초성위기출,결합탄성성상기술,재유선량、악성미소결절적감별진단중구유교고적림상응용개치。
Objective:To explore the ultrasound elasticity imaging in breast benign and malignancy applied value in differential diagnosis of small nodules.Method:One hundred and two cases of 128 patients with mammary gland of tiny solid nodules(diameter 10 mm or less)were given two-dimensional color doppler ultrasound scan,simultaneously elasticity imaging. Measurement of mass organizations and the surrounding tissue elastic strain rate ratio,control of postoperative pathological results were retrospectively analyzed benign and malignant breast ultrasound elasticity imaging characteristics of small nodules.Result:One hundred and twenty-eight nodes,99 benign and malignant 29,benign and malignant breast nodules elastic strain rate ratio respectively(2.16±1.29)and(6.85±4.07),the difference was statistically significant(P<0.05). Two-dimensional color doppler ultrasound combined with elastic strain rate ratio in the diagnosis of malignant nodules of accuracy was 92.33%.Conclusion:Based on the two-dimensional color doppler ultrasound,combined with elastic imaging technology,in the differential diagnosis of benign and malignant breast small nodules has high clinical value.