蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2015年
6期
784-786
,共3页
乳腺肿瘤%超声弹性成像%彩色多普勒超声
乳腺腫瘤%超聲彈性成像%綵色多普勒超聲
유선종류%초성탄성성상%채색다보륵초성
breast neoplasms%ultrasound elastography%color doppler flow imaging
目的：：评价超声弹性成像技术与彩色多普勒超声结合用于诊断乳腺肿瘤的有效性。方法：对乳腺肿瘤98例患者的138个乳腺结节分别运用超声弹性成像技术( UE)、彩色多普勒血流显像( CDFI)以及两者结合进行诊断检查。以患者的手术病理为诊断依据,比较3种方法的诊断效果。结果：98例中有64例患者的96个乳腺结节病理结果为良性；34例患者的42个乳腺结节为恶性。患者病理检查良、恶性乳腺结节结果与CDFI、UE和CDFI+UE检查结果差异均无统计学意义(P>0.05),3种诊断方法检查结果差异均无统计学意义(P >0.05)。其中,CDFI +UE 的诊断敏感度为97.62%,UE、CDFI 单用分别为83.33%、88.10%；CDFI+UE的特异度与诊断准确度分别为96.88%、97.10%,CDFI、UE 单用分别为92.71%、91.30%与93.83%、92.03%。结论：CDFI、UE结合用于诊断乳腺肿瘤具有较高的诊断敏感性、特异性及准确性,值得临床推广应用。
目的：：評價超聲彈性成像技術與綵色多普勒超聲結閤用于診斷乳腺腫瘤的有效性。方法：對乳腺腫瘤98例患者的138箇乳腺結節分彆運用超聲彈性成像技術( UE)、綵色多普勒血流顯像( CDFI)以及兩者結閤進行診斷檢查。以患者的手術病理為診斷依據,比較3種方法的診斷效果。結果：98例中有64例患者的96箇乳腺結節病理結果為良性；34例患者的42箇乳腺結節為噁性。患者病理檢查良、噁性乳腺結節結果與CDFI、UE和CDFI+UE檢查結果差異均無統計學意義(P>0.05),3種診斷方法檢查結果差異均無統計學意義(P >0.05)。其中,CDFI +UE 的診斷敏感度為97.62%,UE、CDFI 單用分彆為83.33%、88.10%；CDFI+UE的特異度與診斷準確度分彆為96.88%、97.10%,CDFI、UE 單用分彆為92.71%、91.30%與93.83%、92.03%。結論：CDFI、UE結閤用于診斷乳腺腫瘤具有較高的診斷敏感性、特異性及準確性,值得臨床推廣應用。
목적：：평개초성탄성성상기술여채색다보륵초성결합용우진단유선종류적유효성。방법：대유선종류98례환자적138개유선결절분별운용초성탄성성상기술( UE)、채색다보륵혈류현상( CDFI)이급량자결합진행진단검사。이환자적수술병리위진단의거,비교3충방법적진단효과。결과：98례중유64례환자적96개유선결절병리결과위량성；34례환자적42개유선결절위악성。환자병리검사량、악성유선결절결과여CDFI、UE화CDFI+UE검사결과차이균무통계학의의(P>0.05),3충진단방법검사결과차이균무통계학의의(P >0.05)。기중,CDFI +UE 적진단민감도위97.62%,UE、CDFI 단용분별위83.33%、88.10%；CDFI+UE적특이도여진단준학도분별위96.88%、97.10%,CDFI、UE 단용분별위92.71%、91.30%여93.83%、92.03%。결론：CDFI、UE결합용우진단유선종류구유교고적진단민감성、특이성급준학성,치득림상추엄응용。
Objective:To evaluate the effects of ultrasound elastography combined with color doppler flow imaging in the diagnosis of breast cancer. Methods:The breast cancer(138 breast nodules) in 98 patients were detected by ultrasound elastography,color doppler flow imaging and ultrasound elastography combined with color doppler flow imaging. The diagnostic results of three methods were compared according to the pathology imaging. Results:The pathology results showed that 96 nodules in 64 patients were benign,42 nodules in 42 patients were malignant. The differences of benign and malignant breast nodules of patients between pathology results and CDFI,UE and CDFI+UE test results were not significant(P >0. 05). The diagnostic sensitivities of ultrasound elastography,color doppler flow imaging and ultrasound elastography combined with color doppler flow imaging were 83. 33%,88. 10% and 97. 62%, respectively. The specificities and diagnostic accuracy of ultrasound elastography,color doppler flow imaging and ultrasound elastography combined with color doppler flow imaging were 92. 71% &91. 30%,93. 83% &92. 03% and 96. 88% &97. 10%. Conclusions:The diagnostic sensitivity,specificity and accuracy of ultrasound elastography combined with color doppler flow imaging in the diagnosis of breast cancer are high,which is worthy of clinical application.
