CAJ | 학술논문

目的：探讨超声弹性成像与钙化特征在乳腺肿块良恶性鉴别诊断中的价值。方法：对90例（105个病灶）乳腺肿块女性患者的超声钙化及弹性成像特点和术后病理结果对照，对两者鉴别乳腺肿块的灵敏性、特异性和准确性进行评估。结果：以钙化特点为标准诊断乳腺肿块性质的灵敏度、特异度、准确度分别为69.4％、85.5％、80.0％；弹性成像依次分别为77.8％、94.2％、88.6％，以上指标均高于钙化特征，差异有统计学意义（P＜0.05）。结论：与钙化特点相比，弹性成像在诊断乳腺肿瘤良恶性中具有更高的敏感性及特异性，可作为诊断乳腺肿瘤良恶性的重要手段。
목적：탐토초성탄성성상여개화특정재유선종괴량악성감별진단중적개치。방법：대90례（105개병조）유선종괴녀성환자적초성개화급탄성성상특점화술후병리결과대조，대량자감별유선종괴적령민성、특이성화준학성진행평고。결과：이개화특점위표준진단유선종괴성질적령민도、특이도、준학도분별위69.4％、85.5％、80.0％；탄성성상의차분별위77.8％、94.2％、88.6％，이상지표균고우개화특정，차이유통계학의의（P＜0.05）。결론：여개화특점상비，탄성성상재진단유선종류량악성중구유경고적민감성급특이성，가작위진단유선종류량악성적중요수단。
Objective:To investigate the value between ultrasonic elastography and characteristics of calcification in differential diagnosis of breast cancer and benign beast tumor. Method:Comparing characteristics of calcificationin and elastograph of 90 patientsˊ(105 lesion)breast lumps,and compa-ring the postoperative pathological results,then evaluating the differential diagnostic effects on breast lumps of both methods. Results:The sensitivity,specificity and accuracy of characteristics of calcifi-cation used as the standard for the diagnosis of beast lump were 69 . 4%,85 . 5%,80 . 0%;while that of elastography in diagnosis of breast lump were 77 . 8%,94 . 2%,88 . 6%,which is significantly high-er than characteristics of calcification. Differences of both methods showed statistical significance( P<0. 05). Conclusion:Compared with the characteristics of calcification,elastograph has higher sensitiv-ity,specificity,which can be regarded as an important diagnostic measure in differentiating beast canc-er and beast benign tumor. It is worth of clinical promotion and application.