超声造影检查在诊断早发性乳腺癌中的效果
|
摘要
目的探讨超声造影检查在诊断早发性乳腺癌中的效果。方法将2014年8月～2017年6月在我院接受治疗的经病理确诊的71例乳腺癌患者按照年龄分为两组,对照组26例患者年龄≤35岁,研究组45例患者年龄> 35岁。两组患者均给予常规超声检查及超声造影检查,将两组患者声像图特征进行比较。结果研究组患者病灶横径、造影后横径、纵横比、横径差值与对照组比较差异有统计学意义(P <0.05),两组患者纵径比较差异无统计学意义(P>0.05)。两组患者在边界、形态、毛刺征或蟹足征、钙化灶、血流分级、造影剂增强分布、血管分布情况、充盈缺损方面比较差异无统计学意义(P> 0.05),研究组相较对照组而言,后方回声衰减少、内部回声不均匀多、高回声晕少、快进快退多、造影剂无滞留少,两组间比较差异有统计学意义(P <0.05)。结论超声造影检查在早发性乳腺癌诊断具有很好的效果,对筛查年轻女性乳腺癌具有重要意义,值得在临床上推广使用。
Objective To explore the curative effect of contrast-enhanced ultrasound in the diagnosis of early-onset breast cancer. Methods 71 patients with breast cancer who were diagnosed by pathology and treated in our hospital from August 2014 to June 2017 were selected and they were divided into two groups according to age.26 patients in the control group were younger than 35 years old while 45 patients in the study group were older than 35 years old.Patients in two groups were all given routine ultrasound and contrast-enhanced ultrasound examination.The sonographic features of patients in two groups were compared. Results There were statistically significant differences in the transverse diameter,transverse diameter after contrast,aspect ratio and transverse diameter difference between the study group and the control group(P< 0.05).There was no statistically significant difference in longitudinal diameter between the two groups(P > 0.05).There was no statistically significant differences in the border,morphology,burr sign or crab foot sign,calcification, blood flow grading,contrast agent enhancement distribution, vascular distribution,and filling defect between the two groups(P > 0.05).Compared with the control group,the posterior echogenicity of the study group was reduced,the internal echogenicity was more uneven,the high echogenicity was less,the fast advance and fast retreat were more and the contrast agent no retention was less.The difference between the two groups was statistically significant(P < 0.05). Conclusion Contrast-enhanced ultrasonography has a very good effect in the diagnosis of early-onset breast cancer.It is of great significance in screening young women with breast cancer and is worthy of clinical promotion and application.
Objective To explore the curative effect of contrast-enhanced ultrasound in the diagnosis of early-onset breast cancer. Methods 71 patients with breast cancer who were diagnosed by pathology and treated in our hospital from August 2014 to June 2017 were selected and they were divided into two groups according to age.26 patients in the control group were younger than 35 years old while 45 patients in the study group were older than 35 years old.Patients in two groups were all given routine ultrasound and contrast-enhanced ultrasound examination.The sonographic features of patients in two groups were compared. Results There were statistically significant differences in the transverse diameter,transverse diameter after contrast,aspect ratio and transverse diameter difference between the study group and the control group(P< 0.05).There was no statistically significant difference in longitudinal diameter between the two groups(P > 0.05).There was no statistically significant differences in the border,morphology,burr sign or crab foot sign,calcification, blood flow grading,contrast agent enhancement distribution, vascular distribution,and filling defect between the two groups(P > 0.05).Compared with the control group,the posterior echogenicity of the study group was reduced,the internal echogenicity was more uneven,the high echogenicity was less,the fast advance and fast retreat were more and the contrast agent no retention was less.The difference between the two groups was statistically significant(P < 0.05). Conclusion Contrast-enhanced ultrasonography has a very good effect in the diagnosis of early-onset breast cancer.It is of great significance in screening young women with breast cancer and is worthy of clinical promotion and application.
引文
[1]韩鄂辉,吕志红,洪玮,等.超声造影对乳腺良恶性肿瘤的鉴别诊断价值[J].肿瘤影像学,2015,24(2):115-118.
[2]年英华,沈若霞,钏志睿,等.超声造影对诊断早发性乳腺癌的诊断价值[J].昆明医科大学学报,2017,9(5):87-91.
[3]黄智亮.磁共振影像在乳腺疾病诊断中的主要应用[J].实用医技杂志,2016,23(7):720-722.
[4]李振燕,陈勇良,杜瑞清,等.常规超声与超声造影在原发性肝癌微波消融术后随访中的应用分析[J].河北医药,2016,38(1):62-64.
[5]胡蓉菲,许萍,邵洁,等.超声造影在乳腺癌患者腋淋巴结诊断中的价值[J].中国医学计算机成像杂志,2015,21(6):575-579.
[6]邵春娟,杜联芳.超声造影在卵巢肿瘤中的应用及价值[J].肿瘤影像学,2016,25(1):88-92.
[7]周成香.超声造影诊断乳腺肿瘤的研究进展[J].西部医学,2015,27(9):1439-1440.
[8]周霖珺,陈曼.40岁以下乳腺癌的超声造影表现[J].中国超声医学杂志,2018,12(2):120-122.
[9]彭玉兰,黄娟,苏鸣岗.功能影像学技术对乳腺癌诊断的价值[J].中华医学超声杂志:电子版,2015,12(11):823-827.
[10]王乐华,黄旴宁,刘艳婷,等.超声造影在乳腺良恶性肿瘤鉴别诊断中的价值[J].实用临床医药杂志,2017,21(7).138-142.
[11]郑美芳.彩色多普勒超声在早发性乳腺癌诊断中的应用价值[J].浙江中西医结合杂志,2015,25(3):241.
[12]陈丹丹,冯冲,李彩娟,等.乳腺癌的超声诊断进展[J].牡丹江医学院学报,2017,38(1):103-104.
[13]张庆坤,冷晓玲,张芬,等.超声造影对早发性乳腺癌的诊断价值[J].中国超声医学杂志,2015,31(4):305-307.
[14]罗水浓,曾月颜,谢永林.超声造影在早发性乳腺癌诊断中应用探讨[J].中外医疗,2015,12(34):172-173.
[15]崔华.彩色多普勒超声在早发性乳腺癌中的临床诊断及价值[J].中外医疗,2016,35(5):175-176.
[2]年英华,沈若霞,钏志睿,等.超声造影对诊断早发性乳腺癌的诊断价值[J].昆明医科大学学报,2017,9(5):87-91.
[3]黄智亮.磁共振影像在乳腺疾病诊断中的主要应用[J].实用医技杂志,2016,23(7):720-722.
[4]李振燕,陈勇良,杜瑞清,等.常规超声与超声造影在原发性肝癌微波消融术后随访中的应用分析[J].河北医药,2016,38(1):62-64.
[5]胡蓉菲,许萍,邵洁,等.超声造影在乳腺癌患者腋淋巴结诊断中的价值[J].中国医学计算机成像杂志,2015,21(6):575-579.
[6]邵春娟,杜联芳.超声造影在卵巢肿瘤中的应用及价值[J].肿瘤影像学,2016,25(1):88-92.
[7]周成香.超声造影诊断乳腺肿瘤的研究进展[J].西部医学,2015,27(9):1439-1440.
[8]周霖珺,陈曼.40岁以下乳腺癌的超声造影表现[J].中国超声医学杂志,2018,12(2):120-122.
[9]彭玉兰,黄娟,苏鸣岗.功能影像学技术对乳腺癌诊断的价值[J].中华医学超声杂志:电子版,2015,12(11):823-827.
[10]王乐华,黄旴宁,刘艳婷,等.超声造影在乳腺良恶性肿瘤鉴别诊断中的价值[J].实用临床医药杂志,2017,21(7).138-142.
[11]郑美芳.彩色多普勒超声在早发性乳腺癌诊断中的应用价值[J].浙江中西医结合杂志,2015,25(3):241.
[12]陈丹丹,冯冲,李彩娟,等.乳腺癌的超声诊断进展[J].牡丹江医学院学报,2017,38(1):103-104.
[13]张庆坤,冷晓玲,张芬,等.超声造影对早发性乳腺癌的诊断价值[J].中国超声医学杂志,2015,31(4):305-307.
[14]罗水浓,曾月颜,谢永林.超声造影在早发性乳腺癌诊断中应用探讨[J].中外医疗,2015,12(34):172-173.
[15]崔华.彩色多普勒超声在早发性乳腺癌中的临床诊断及价值[J].中外医疗,2016,35(5):175-176.