中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2013年
5期
429-432
,共4页
郑笑娟%朱丽%韩英%邱林%温媛媛%赵臣银
鄭笑娟%硃麗%韓英%邱林%溫媛媛%趙臣銀
정소연%주려%한영%구림%온원원%조신은
超声检查%乳腺肿瘤%诊断,鉴别
超聲檢查%乳腺腫瘤%診斷,鑒彆
초성검사%유선종류%진단,감별
Ultrasonography%Breast neoplasms%Diagnosis,differential
目的 探讨脂肪组织声像图改变在乳腺良恶性病变中的诊断价值.方法 回顾性分析92例患者共114个乳腺病灶边缘皮下脂肪组织的声像图特点,所有病灶均经手术后病理证实.以病理结果为金标准构建ROC曲线,评价皮下脂肪组织改变在乳腺良恶性病变中的诊断价值.结果 61例良性病灶及53例恶性病灶的ROC曲线下面积为0.862,(P=0.000).皮下脂肪组织声像图改变达Ⅲ级及以上者提示为恶性病变,以Ⅲ级为诊断乳腺恶性病变的指标,其灵敏度为73.6％,特异度为93.4％.恶性病灶的脂肪组织声像图可表现为内部纤维组织增多,脂肪回声增高,浑浊、模糊,呈“毛玻璃样”改变.脂肪改变的范围在乳腺良恶性病变中差异有统计学意义(P=0.000).结论 皮下脂肪组织声像图改变对乳腺良恶性病变的鉴别有诊断价值.
目的 探討脂肪組織聲像圖改變在乳腺良噁性病變中的診斷價值.方法 迴顧性分析92例患者共114箇乳腺病竈邊緣皮下脂肪組織的聲像圖特點,所有病竈均經手術後病理證實.以病理結果為金標準構建ROC麯線,評價皮下脂肪組織改變在乳腺良噁性病變中的診斷價值.結果 61例良性病竈及53例噁性病竈的ROC麯線下麵積為0.862,(P=0.000).皮下脂肪組織聲像圖改變達Ⅲ級及以上者提示為噁性病變,以Ⅲ級為診斷乳腺噁性病變的指標,其靈敏度為73.6％,特異度為93.4％.噁性病竈的脂肪組織聲像圖可錶現為內部纖維組織增多,脂肪迴聲增高,渾濁、模糊,呈“毛玻璃樣”改變.脂肪改變的範圍在乳腺良噁性病變中差異有統計學意義(P=0.000).結論 皮下脂肪組織聲像圖改變對乳腺良噁性病變的鑒彆有診斷價值.
목적 탐토지방조직성상도개변재유선량악성병변중적진단개치.방법 회고성분석92례환자공114개유선병조변연피하지방조직적성상도특점,소유병조균경수술후병리증실.이병리결과위금표준구건ROC곡선,평개피하지방조직개변재유선량악성병변중적진단개치.결과 61례량성병조급53례악성병조적ROC곡선하면적위0.862,(P=0.000).피하지방조직성상도개변체Ⅲ급급이상자제시위악성병변,이Ⅲ급위진단유선악성병변적지표,기령민도위73.6％,특이도위93.4％.악성병조적지방조직성상도가표현위내부섬유조직증다,지방회성증고,혼탁、모호,정“모파리양”개변.지방개변적범위재유선량악성병변중차이유통계학의의(P=0.000).결론 피하지방조직성상도개변대유선량악성병변적감별유진단개치.
Objective To investigate the diagnostic value of sonographic changes of adipose tissue in benign and malignant breast lesions.Methods The sonographic characteristics of subcutaneous adipose tissue were retrospectively analyzed in 92 patients with 114 breast lesions,all lesions were confirmed by postoperative pathology.Receive operating characteristic (ROC) curve was drew with the pathological results as standard,the diagnostic value of subcutaneous adipose tissue changes in benign and malignant breast lesions was evaluated.Results The area under the ROC curve that derived from all of the lesions (61 benign and 53 malignant) was 0.862 (P =0.000).The ultrasonographic findings which showed subcutaneous adipose tissue changes at grade Ⅲ or higher suggested that the tumors were more likely malignant lesions.When adipose tissue changes at grade Ⅲ was taken as the diagnostic indicator for the presence of malignant breast lesions,the diagnostic sensitivity reached 73.6％ while specificity reached 93.4％.At ultrasound imaging scan,the adipose tissue in malignant lesions had the following manifestations:increased fibrosis,increased echogenicity,the sonographic images were turbidity or blurred,presence of ground-glass-like opacity.There were significant differences (P =0.000) between the benign and the malignant lesions in the range of adipose tissue changes.Conclusions The ultrasonographic changes were helpful to the differential diagnosis between the benign and the malignant breast lesions.
