临床超声医学杂志
臨床超聲醫學雜誌
림상초성의학잡지
JOURNAL OF ULTRASOUND IN CLINICAL M，EDICINE
2014年
8期
555-557
,共3页
超声检查%弹性成像%乳腺肿块
超聲檢查%彈性成像%乳腺腫塊
초성검사%탄성성상%유선종괴
Ultrasonography%Elastic imaging%Breast mass
目的：探讨常规超声结合弹性成像对乳腺肿块良恶性的鉴别诊断价值。方法98例乳腺肿块患者共106个肿块，其中良性60个，恶性46个；术前行常规超声和弹性成像检查，并与术后病理结果对照。结果乳腺良性肿块弹性评分1～3分53例，占88．33％，平均（1．95±1．06）分；恶性肿块弹性评分4～5分35例，占76．09％，平均（4．02±0．95）分，两者差异有统计学意义（P＜0．05）。以弹性评分≥4分为界点，常规超声联合弹性成像诊断乳腺恶性肿块的敏感性、特异性、准确性分别为93．48％、88．33％、90．57％；联合应用诊断乳腺肿块良恶性的敏感性、准确性高于单独应用常规超声和弹性评分法（均P＜0．05），三者诊断特异性差异无统计学意义。结论乳腺良恶性肿块弹性评分分布情况各有特点，超声弹性成像联合常规超声能提高对乳腺肿块良恶性的鉴别诊断能力。
目的：探討常規超聲結閤彈性成像對乳腺腫塊良噁性的鑒彆診斷價值。方法98例乳腺腫塊患者共106箇腫塊，其中良性60箇，噁性46箇；術前行常規超聲和彈性成像檢查，併與術後病理結果對照。結果乳腺良性腫塊彈性評分1～3分53例，佔88．33％，平均（1．95±1．06）分；噁性腫塊彈性評分4～5分35例，佔76．09％，平均（4．02±0．95）分，兩者差異有統計學意義（P＜0．05）。以彈性評分≥4分為界點，常規超聲聯閤彈性成像診斷乳腺噁性腫塊的敏感性、特異性、準確性分彆為93．48％、88．33％、90．57％；聯閤應用診斷乳腺腫塊良噁性的敏感性、準確性高于單獨應用常規超聲和彈性評分法（均P＜0．05），三者診斷特異性差異無統計學意義。結論乳腺良噁性腫塊彈性評分分佈情況各有特點，超聲彈性成像聯閤常規超聲能提高對乳腺腫塊良噁性的鑒彆診斷能力。
목적：탐토상규초성결합탄성성상대유선종괴량악성적감별진단개치。방법98례유선종괴환자공106개종괴，기중량성60개，악성46개；술전행상규초성화탄성성상검사，병여술후병리결과대조。결과유선량성종괴탄성평분1～3분53례，점88．33％，평균（1．95±1．06）분；악성종괴탄성평분4～5분35례，점76．09％，평균（4．02±0．95）분，량자차이유통계학의의（P＜0．05）。이탄성평분≥4분위계점，상규초성연합탄성성상진단유선악성종괴적민감성、특이성、준학성분별위93．48％、88．33％、90．57％；연합응용진단유선종괴량악성적민감성、준학성고우단독응용상규초성화탄성평분법（균P＜0．05），삼자진단특이성차이무통계학의의。결론유선량악성종괴탄성평분분포정황각유특점，초성탄성성상연합상규초성능제고대유선종괴량악성적감별진단능력。
Objective To explore the value of conventional ultrasound combined with the elastic imaging in the differential diagnosis of benign and malignant breast masses. Methods A total of 98 patients with 106 breast masses,including 60 benign and 46 malignant nodules were underwent conventional ultrasound and elasticity imaging,and compared with the postoperative pathological results. Results There were 53 cases with elasticity score from 1 to 3 points in benign group, accounting for 88.33%,and the average score was 1.95 ±1.06. There were 35 cases with elasticity score from 4 to 5 points in malignant group,accounting for 76.09%,and the average score was 4.02 ±0.95. There was significant difference between the two groups (P<0.05). In combination with the elastic score≥4,the sensitivity,specificity,accuracy of combinational ultrasound for the diagnosis of malignant breast masses were 93.48%,88.33%,90.57%,the sensitivity and accuracy were higher than conventional ultrasound or elastic scoring diagnosis alone (P<0.05). No significant difference in the diagnostic specificity was found among the three groups. Conclusion Elastic score distribution of benign and malignant breast masses have different features,ultrasound elasticity imaging based on tissue hardness,combined with conventional ultrasound can improve the ability of differential diagnosis.
