中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
9期
75-76
,共2页
超声弹性成像%乳腺小实性病灶%诊断%价值
超聲彈性成像%乳腺小實性病竈%診斷%價值
초성탄성성상%유선소실성병조%진단%개치
Ultrasound elasticity imaging%Breast small masses%Diagnosis%Value
目的:深入分析和研究超声弹性成像在乳腺小实性病灶中的诊断价值,提高疾病的治疗水平.方法:收集2010年3月-2011年5月在笔者所在医院进行手术治疗的490例女性患者共570个乳腺病灶采用超声弹性成像技术进行检查.将490例女性患者按照病灶的大小分为Ⅰ组和Ⅱ组.其中Ⅰ组共有120例患者和150个病灶,在所有病灶当中最大直径≤10 mm.Ⅱ组共有370例患者和420个病灶,在所有病灶当中最大直径>10 mm.Ⅰ组和Ⅱ组均使用日立EUB8500彩超仪进行超声弹性成像检查,采用弹性成像技术进行评分,分数值在4分及其以上分数为为恶性,分数值在3分及以下分数为良性.以手术检查数据结果为对比数据,比较两组在病变的敏感性、特异性和准确性上的差别.结果:Ⅰ组的120例患者和150个病灶当中敏感性为91.0%、特异性为99.5%、准确性为98.6%.Ⅱ组的370例患者和420个病灶当中敏感性81.6%、特异性96.5%、准确性92.8%.两组在超声弹性成像的敏感性、特异性和准确性上比较差异具有统计学意义(P<0.05).结论:超声弹性成像在乳腺小实性病灶中具有良好的诊断价值,在临床中可以广泛推广.
目的:深入分析和研究超聲彈性成像在乳腺小實性病竈中的診斷價值,提高疾病的治療水平.方法:收集2010年3月-2011年5月在筆者所在醫院進行手術治療的490例女性患者共570箇乳腺病竈採用超聲彈性成像技術進行檢查.將490例女性患者按照病竈的大小分為Ⅰ組和Ⅱ組.其中Ⅰ組共有120例患者和150箇病竈,在所有病竈噹中最大直徑≤10 mm.Ⅱ組共有370例患者和420箇病竈,在所有病竈噹中最大直徑>10 mm.Ⅰ組和Ⅱ組均使用日立EUB8500綵超儀進行超聲彈性成像檢查,採用彈性成像技術進行評分,分數值在4分及其以上分數為為噁性,分數值在3分及以下分數為良性.以手術檢查數據結果為對比數據,比較兩組在病變的敏感性、特異性和準確性上的差彆.結果:Ⅰ組的120例患者和150箇病竈噹中敏感性為91.0%、特異性為99.5%、準確性為98.6%.Ⅱ組的370例患者和420箇病竈噹中敏感性81.6%、特異性96.5%、準確性92.8%.兩組在超聲彈性成像的敏感性、特異性和準確性上比較差異具有統計學意義(P<0.05).結論:超聲彈性成像在乳腺小實性病竈中具有良好的診斷價值,在臨床中可以廣汎推廣.
목적:심입분석화연구초성탄성성상재유선소실성병조중적진단개치,제고질병적치료수평.방법:수집2010년3월-2011년5월재필자소재의원진행수술치료적490례녀성환자공570개유선병조채용초성탄성성상기술진행검사.장490례녀성환자안조병조적대소분위Ⅰ조화Ⅱ조.기중Ⅰ조공유120례환자화150개병조,재소유병조당중최대직경≤10 mm.Ⅱ조공유370례환자화420개병조,재소유병조당중최대직경>10 mm.Ⅰ조화Ⅱ조균사용일립EUB8500채초의진행초성탄성성상검사,채용탄성성상기술진행평분,분수치재4분급기이상분수위위악성,분수치재3분급이하분수위량성.이수술검사수거결과위대비수거,비교량조재병변적민감성、특이성화준학성상적차별.결과:Ⅰ조적120례환자화150개병조당중민감성위91.0%、특이성위99.5%、준학성위98.6%.Ⅱ조적370례환자화420개병조당중민감성81.6%、특이성96.5%、준학성92.8%.량조재초성탄성성상적민감성、특이성화준학성상비교차이구유통계학의의(P<0.05).결론:초성탄성성상재유선소실성병조중구유량호적진단개치,재림상중가이엄범추엄.
@@@@Objective:The value of in-depth analysis and study of ultrasonic elastography in diagnosis of small breast solid lesions of,improve the level of treatment of disease.Method:From 2010 March to 2011 May operation treatment of 490 cases of female patients with a total of 570 breast lesions were examined by ultrasound elasticity imaging technology in our institute.490 cases of female patients according to the size of the lesion were divided into group I and groupⅡ.In the I group there are 120 patients and 150 lesions in all cases,the largest diameter≤10 mm.GroupⅡconsists of 370 patients and 420 lesions,in all lesions,maximum diameter of>10 mm.Group I and groupⅡwere using HITACHI EUB8500 color Doppler ultrasound ultrasound elasticity imaging,were scored using elasticity imaging techniques,numerical in 4 points and above fraction of malignant,score at or below 3 scores for benign.The operation inspection data results for comparison of data between the two groups in the lesions,the sensitivity,specificity and accuracy of the difference.Result:Of 120 patients in I group and 150 lesions,the sensitivity was 91%,specificity was 99.5%,the accuracy was 98.6%.370 patients in groupⅡand 420 lesions sensitivity of 81.6%,specificity of 96.5%,accuracy of 92.8%.Two groups of sensitivity,in ultrasound elasticity imaging specificity and accuracy has statistical significance(P<0.05).Conclusion:Ultrasound elasticity imaging has good diagnostic value in small breast solid lesions,can be widely applied in clinical practice.
