超声弹性成像联合彩超诊断乳腺肿块的临床效果
|
摘要
目的探讨超声弹性成像联合彩超诊断乳腺肿块的临床效果。方法选取2015年9月-2016年7月来我院接受乳腺肿块诊断的患者78例,每例患者均先后进行彩超、超声弹性成像检查,并与术后病理检查结果对照。结果 65例良性肿块患者,超声弹性成像联合彩超检查符合率为93.85%,肿块内无血流或极少量血流占比78.46%,肿块弹性评分1-2分占比87.69%;术后病理检查结果诊断13例恶性肿块患者,超声弹性成像联合彩超检查符合率为92.31%,肿块内血流较丰富或丰富占比69.23%,肿块弹性评分3～5分占比84.62%。结论临床采取超声弹性成像联合彩超检查,可显著提高患者乳腺肿块良恶性的诊断准确率。
Objective To explore clinical effect of ultrasonic elastography combined with color Doppler ultrasound in diagnosis of breast mass. Methods 78 cases of patients undergoing breast mass diagnosis in our hospital from September 2015 to July 2016 were selected, and each patient was undergoing color Doppler ultrasound and ultrasonic elastography in turns, and the result was compared with pathological findings after operation. Results Among 65 cases of benign masses, the coincidence rate was 93.85% of ultrasonic elastography combined with color Doppler ultrasound. There was no blood flow or a small amount of blood flow in the mass, accounting for 78.46%, and the elasticity score 1-2 of the mass, accounting for 87.69%. In postoperative pathology diagnosis, there were 13 cases of malignant tumor patients, and coincidence rate was 92.31% of ultrasound elastography combined with color Doppler ultrasound,and mass flow richer or abundant accounted for 69.23%, mass elastic score 3-5, accounting for 84.62%. Conclusion Ultrasonic elastography combined with color Doppler ultrasound can significantly improve diagnostic accuracy of benign and malignant breast lumps.
Objective To explore clinical effect of ultrasonic elastography combined with color Doppler ultrasound in diagnosis of breast mass. Methods 78 cases of patients undergoing breast mass diagnosis in our hospital from September 2015 to July 2016 were selected, and each patient was undergoing color Doppler ultrasound and ultrasonic elastography in turns, and the result was compared with pathological findings after operation. Results Among 65 cases of benign masses, the coincidence rate was 93.85% of ultrasonic elastography combined with color Doppler ultrasound. There was no blood flow or a small amount of blood flow in the mass, accounting for 78.46%, and the elasticity score 1-2 of the mass, accounting for 87.69%. In postoperative pathology diagnosis, there were 13 cases of malignant tumor patients, and coincidence rate was 92.31% of ultrasound elastography combined with color Doppler ultrasound,and mass flow richer or abundant accounted for 69.23%, mass elastic score 3-5, accounting for 84.62%. Conclusion Ultrasonic elastography combined with color Doppler ultrasound can significantly improve diagnostic accuracy of benign and malignant breast lumps.
引文
[1]赵向忠,赵文莉.超声弹性成像与常规超声联合应用在诊断腺肿块中的价值[J].吉林医学,2013,34(31):6468-6470.
[2]Taylor K,O'Keeffe S,Britton PD,et al.Ultrasound elastography as an adjuvant to conventional ultrasound in the preoperative as-sessment of axillary lymph nodes in suspected breast cancer:apilot study[J].Clin Radiol,2011,66(11):1064-1072.
[3]吴丽平.彩超在乳腺肿块诊断中的临床应用价值分析[J].医学理论与实践,2014,27(17):2340-2341.
[4]彭汇涓,张嬿,李曦,等.彩色多普勒超声联合弹性成像在乳腺肿块鉴别诊断中的应用价值[J].临床超声医学杂志,2013,15(4):251-253.
[2]Taylor K,O'Keeffe S,Britton PD,et al.Ultrasound elastography as an adjuvant to conventional ultrasound in the preoperative as-sessment of axillary lymph nodes in suspected breast cancer:apilot study[J].Clin Radiol,2011,66(11):1064-1072.
[3]吴丽平.彩超在乳腺肿块诊断中的临床应用价值分析[J].医学理论与实践,2014,27(17):2340-2341.
[4]彭汇涓,张嬿,李曦,等.彩色多普勒超声联合弹性成像在乳腺肿块鉴别诊断中的应用价值[J].临床超声医学杂志,2013,15(4):251-253.