中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
19期
131-133
,共3页
朱丽%郑笑娟%韩英%杨娟
硃麗%鄭笑娟%韓英%楊娟
주려%정소연%한영%양연
超声检查%容积成像%乳腺肿瘤%鉴别诊断
超聲檢查%容積成像%乳腺腫瘤%鑒彆診斷
초성검사%용적성상%유선종류%감별진단
Ultrasonography%Volumetric imaging%Breast neoplasms%Diagnosis differential
目的：探讨使用二维常规灰阶超声(two-dimensional ultrasonic imaging,2D-US)和自动乳腺全容积成像系统(automated breast volume scanner,ABVS)两种检查方法在诊断乳腺癌边缘脂肪组织声像图中的价值。方法选取2012年7月~2013年3月浙江省人民医院超声科和浙江省舟山医院超声科经超声诊断并行手术治疗的106名患者共143例病灶为研究对象,术前分别使用2D-US和ABVS对病灶进行检查,以病灶边缘脂肪组织出现回声增高、浑浊模糊、内部纤维组织增多,或呈“毛玻璃样”改变作为恶性病变的诊断指标,分析两种检查方法对乳腺癌周围恶性脂肪组织声像图的诊断情况；进一步将肿块按直径大小分为四组,比较两种检查方法对不同直径大小的乳腺癌病灶周围脂肪组织声像图的诊断情况。结果143个病灶分别使用2D-US及ABVS检查,ABVS对脂肪组织声像图诊断的敏感度及准确度高于2D-US,漏诊率低于2D-US(ABVS：68.42%、86.01%、31.58%,2D-US：59.65%、82.52%、40.35%),ABVS对直径超过30 mm的肿块周围恶性脂肪组织声像图的检出率高于2D-US,但两种检查方法对病灶周围脂肪组织声像图诊断的特异度、误诊率差异无统计学意义(P<0.05)。结论 ABVS和2D-US对病变周围的脂肪组织均能较好地进行鉴别,有助于乳腺癌的诊断。
目的：探討使用二維常規灰階超聲(two-dimensional ultrasonic imaging,2D-US)和自動乳腺全容積成像繫統(automated breast volume scanner,ABVS)兩種檢查方法在診斷乳腺癌邊緣脂肪組織聲像圖中的價值。方法選取2012年7月~2013年3月浙江省人民醫院超聲科和浙江省舟山醫院超聲科經超聲診斷併行手術治療的106名患者共143例病竈為研究對象,術前分彆使用2D-US和ABVS對病竈進行檢查,以病竈邊緣脂肪組織齣現迴聲增高、渾濁模糊、內部纖維組織增多,或呈“毛玻璃樣”改變作為噁性病變的診斷指標,分析兩種檢查方法對乳腺癌週圍噁性脂肪組織聲像圖的診斷情況；進一步將腫塊按直徑大小分為四組,比較兩種檢查方法對不同直徑大小的乳腺癌病竈週圍脂肪組織聲像圖的診斷情況。結果143箇病竈分彆使用2D-US及ABVS檢查,ABVS對脂肪組織聲像圖診斷的敏感度及準確度高于2D-US,漏診率低于2D-US(ABVS：68.42%、86.01%、31.58%,2D-US：59.65%、82.52%、40.35%),ABVS對直徑超過30 mm的腫塊週圍噁性脂肪組織聲像圖的檢齣率高于2D-US,但兩種檢查方法對病竈週圍脂肪組織聲像圖診斷的特異度、誤診率差異無統計學意義(P<0.05)。結論 ABVS和2D-US對病變週圍的脂肪組織均能較好地進行鑒彆,有助于乳腺癌的診斷。
목적：탐토사용이유상규회계초성(two-dimensional ultrasonic imaging,2D-US)화자동유선전용적성상계통(automated breast volume scanner,ABVS)량충검사방법재진단유선암변연지방조직성상도중적개치。방법선취2012년7월~2013년3월절강성인민의원초성과화절강성주산의원초성과경초성진단병행수술치료적106명환자공143례병조위연구대상,술전분별사용2D-US화ABVS대병조진행검사,이병조변연지방조직출현회성증고、혼탁모호、내부섬유조직증다,혹정“모파리양”개변작위악성병변적진단지표,분석량충검사방법대유선암주위악성지방조직성상도적진단정황；진일보장종괴안직경대소분위사조,비교량충검사방법대불동직경대소적유선암병조주위지방조직성상도적진단정황。결과143개병조분별사용2D-US급ABVS검사,ABVS대지방조직성상도진단적민감도급준학도고우2D-US,루진솔저우2D-US(ABVS：68.42%、86.01%、31.58%,2D-US：59.65%、82.52%、40.35%),ABVS대직경초과30 mm적종괴주위악성지방조직성상도적검출솔고우2D-US,단량충검사방법대병조주위지방조직성상도진단적특이도、오진솔차이무통계학의의(P<0.05)。결론 ABVS화2D-US대병변주위적지방조직균능교호지진행감별,유조우유선암적진단。
Objective To investigate the diagnostic value of two-dimensional ultrasonic imaging (2D-US) and automat-ed breast volume scanner (ABVS) in sonographic changes of adipose tissue in breast cancer. Methods 106 patients with a total of 143 lesions in Department of Ultrasound, Zhejiang Provincial People's Hospital and Department of Ul-trasound, Zhejiang Provincial Zhoushan Hospital were checked by using 2D-US and ABVS before operation in July 2012 to March 2013. When adipose tissue changed with increased echogenicity, increased fibrosis, the sonographic im-ages were turbidity and blurred or presence of ground-glass-like opacity, these were taken as the diagnostic indicator of malignant lesions. The two methods in diagnosis of adipose tissue which around the breast lesions were compared. According to the diameter size, the masses were divided into 4 groups, and the two methods in diagnosis of adipose tis-sue in different size of lesions were evaluated. Results 2D-US and ABVS were respectively used to check 143 lesions, the sensitivity and accuracy of ultrasonogram diagnosis of adipose tissues by ABVS was higher than by 2D-US, and the rate of misdiagnosis by ABVS was lower than by 2D-US (ABVS:68.42%, 86.01%, 31.58%, 2D-US:59.65%, 82.52%, 40.35%);the detection rate of malignant sonographic changes of adipose tissue by using ABVS was higher than by 2D-US for more than 30 mm diameter of lesions. However, there was no statistical significance differences for specific de-gree and misdiagnosis rate between two methods in diagnosis of sonographic changes of adipose tissue (P < 0.05). Conclusion Both ABVS and 2D-US can make good differential diagnosis of adipose tissues around the breast lesions. The two methods are helpful to the diagnosis of breast cancer.
