CAJ | 학술논문

目的：评价实时超声弹性成像（RTE）技术对乳腺病变穿刺活检的指导价值。方法超声引导下乳腺病变穿刺活检62例，穿刺前全部病例均经超声弹性成像评分，穿刺后对比超声诊断与病理结果。结果62例乳腺穿刺活检病理结果：良性病变21例，恶性病变41例，穿刺病例的总阳性预报值为66%。结论依据超声弹性成像评估标准选择穿刺患者，提高乳腺病变活检的阳性率，减少穿刺的盲目性。超声弹性成像评分1~3分者基本不需要穿刺活检，多数可采取短期随访观察；评分4~5分者应穿刺活检。
목적：평개실시초성탄성성상（RTE）기술대유선병변천자활검적지도개치。방법초성인도하유선병변천자활검62례，천자전전부병례균경초성탄성성상평분，천자후대비초성진단여병리결과。결과62례유선천자활검병리결과：량성병변21례，악성병변41례，천자병례적총양성예보치위66%。결론의거초성탄성성상평고표준선택천자환자，제고유선병변활검적양성솔，감소천자적맹목성。초성탄성성상평분1~3분자기본불수요천자활검，다수가채취단기수방관찰；평분4~5분자응천자활검。
Objective To explore the value of real-time tissue elastography(RTE) in ultrasound-guided percuta-neous biopsy of breast disease. Methods Ultrasonography-guided biopsy was performed in 62 patients who were marked four and five grade with standards of RTE to compare ultrasound diagnosis with pathologic examination. Results There were 21 cases with benign findings, 41 cases with malignancy. The overall positive predictive value was 66%. Conclu-sion Sonography-guided biopsies are selected according to the RTE assessment categories , which could reduce its blindness. RTE 1-3 don′t require biopsy or short-term follow-up while RTE 4-5 need immediate biopsy.