中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
15期
22-24
,共3页
超声检查,多普勒,彩色%弹性成像技术%乳腺疾病
超聲檢查,多普勒,綵色%彈性成像技術%乳腺疾病
초성검사,다보륵,채색%탄성성상기술%유선질병
Ultrasonography,Doppler,color%Elasticity imaging techniques%Breast diseases
目的 探讨超声弹性成像(UE)在乳腺微小实质性病变(病灶最大直径≤10 mm)定性诊断中的应用价值.方法 回顾性分析临床病理明确诊断的82例乳腺微小实质性病变患者的UE检查资料,并将UE与病理诊断结果进行比较.结果 乳腺微小实质性病变UE随病变性质不同而表现不同的弹性评分,UE总检出率为93.7％(89/95).4分病灶误诊1个,病理诊断为乳腺纤维瘤并钙化;3分病灶误诊5个,病理诊断分别为浸润性导管癌1个、导管内原位癌2个、浸润性小叶癌2个.乳腺微小癌的检出率为80.0％(20/25).UE与病理诊断结果比较差异无统计学意义(P＞0.05).病灶整体应变率在乳腺微小良恶性病灶比较差异有统计学意义(P＜0.05).结论 UE及实时应变技术在乳腺微小实质性病变定性诊断中价值较大,对临床较难诊断的病灶有一定的补充诊断作用.
目的 探討超聲彈性成像(UE)在乳腺微小實質性病變(病竈最大直徑≤10 mm)定性診斷中的應用價值.方法 迴顧性分析臨床病理明確診斷的82例乳腺微小實質性病變患者的UE檢查資料,併將UE與病理診斷結果進行比較.結果 乳腺微小實質性病變UE隨病變性質不同而錶現不同的彈性評分,UE總檢齣率為93.7％(89/95).4分病竈誤診1箇,病理診斷為乳腺纖維瘤併鈣化;3分病竈誤診5箇,病理診斷分彆為浸潤性導管癌1箇、導管內原位癌2箇、浸潤性小葉癌2箇.乳腺微小癌的檢齣率為80.0％(20/25).UE與病理診斷結果比較差異無統計學意義(P＞0.05).病竈整體應變率在乳腺微小良噁性病竈比較差異有統計學意義(P＜0.05).結論 UE及實時應變技術在乳腺微小實質性病變定性診斷中價值較大,對臨床較難診斷的病竈有一定的補充診斷作用.
목적 탐토초성탄성성상(UE)재유선미소실질성병변(병조최대직경≤10 mm)정성진단중적응용개치.방법 회고성분석림상병리명학진단적82례유선미소실질성병변환자적UE검사자료,병장UE여병리진단결과진행비교.결과 유선미소실질성병변UE수병변성질불동이표현불동적탄성평분,UE총검출솔위93.7％(89/95).4분병조오진1개,병리진단위유선섬유류병개화;3분병조오진5개,병리진단분별위침윤성도관암1개、도관내원위암2개、침윤성소협암2개.유선미소암적검출솔위80.0％(20/25).UE여병리진단결과비교차이무통계학의의(P＞0.05).병조정체응변솔재유선미소량악성병조비교차이유통계학의의(P＜0.05).결론 UE급실시응변기술재유선미소실질성병변정성진단중개치교대,대림상교난진단적병조유일정적보충진단작용.
Objective To analyze the clinical value of ultrasound elastography (UE) in qualitative diagnosis of breast tiny (≤ 10 mm) substantive lesions.Methods The clinical UE examination data of recent clinical pathology diagnosis of 82 cases of breast tiny lesions were analyzed retrospectively,and compared with pathology results for statistical analysis.Results With the lesions nature was different,the UE elasticity score of breast parenchymal lesions wasdifferent,the UE overall detection rate of breast small lesions was 93.7％ (89/95).Four points 1 lesion misdiagnosed,pathologic diagnosis of mammary gland fibroma and calcification.Three points 5 lesions misdiagnosed,pathological diagnosis were 1 of invasive ductal carcinoma,2 of intraductal carcinoma in situ,2 of invasive lobular carcinoma.The detection rate of tiny breast cancer was 80.0％ (20/25).There was no significant difference between UE and the pathological diagnosis (P＞ 0.05).Elastic strain rate in the tiny benign and malignant breast lesions had significant difference (P ＜ 0.05).Conclusion UE and real-time strain techniques have larger clinical diagnosis value in breast tiny substantive lesions,and a certain complementary role for the lesions which are difficult to diagnose.
