超声弹性成像对良-恶性乳腺肿瘤诊断临床价值.docVIP

超声弹性成像对良\恶性乳腺肿瘤诊断临床价值[摘要] 目的 探讨超声弹性成像对良、恶性乳腺肿瘤诊断的临床应用价值。方法 根据触诊及病理诊断将患者分为良性组和恶性组，所有患者进行超声弹性成像诊断并记录硬度分数和面积。结果 良性组肿瘤硬度评分均在3分以下，1、2、3分的比例分别为41.18%、44.12%、14.70%；恶性组肿瘤评分均为2分以上，2、3、4、5分的比例分别为3.57%、10.71%、39.29%、46.43%；两组肿瘤同等级评分硬度的病例比例经统计学比较具有显著差异（P＜0.05）；良性组患者的平均病灶面积为（1.02±1.03）cm2，恶性组患者平均病灶面积为（2.36±1.52）cm2,两组比较差异有显著性（P＜0.05）。结论 超声弹性成像对乳腺实质性肿瘤的定性诊断具有积极意义，肿瘤硬度的检测能有效提高良恶性肿瘤的诊断准确率。 [关键词] 超声弹性成像；乳腺实质性肿瘤 [中图分类号] R737.19 [文献标识码] B[文章编号] 1673-9701（2011）21-103-02 Clinical Value of Ultrasonic Elastography for Benign and M alignant Breast Tumors QIAN Jun Deqing City People’s Hospital，Deqing 313200，China [Abstract] Objective To discuss the clinical value of ultrasonic elastography for benign and m alignant breast tumors. Methods To separate the patients in benign group and m alignant group according to the results of palpation and pathology. All patients were diagnosed by ultrasound elastography and recorded hardness scores and area. Results Hardness scores of benign group were less than 3 points, the rate of 1, 2 and 3 point were respectively 41.18%, 44.12% and 14.70%, and hardness scores of m alignant group were more than 2 points, the rate of 2, 3, 4 and 5 point were respectively 3.57%, 10.71%, 39.29% and 46.43%（P＜0.05）. The average lesion area of benign group was （1.02±1.03）cm2, and the average lesion area of m alignant group was（2.36±1.52）cm2（P＜0.05）. Conclusion The ultrasonic elastography had positive significance in diagnosing benign and m alignant breast tumors. Tumor hardness detection could improve the diagnostic accuracy of m alignant breast tumor. [Key words] Ultrasound elastography; Breast tumors 1991年Ophir等在研究著述中首次提出超声弹性成像的技术理论[1]，经过多年的临床研究及医疗设备的不断进步，目前我国已有诸多影像学医疗工作者开始注意和研究探讨有关超声弹性成像的操作方法及临床疗效[2]。笔者选取我院2009年2月～2010年2月间62例患乳腺实质性肿瘤的患者进行弹性成像研究，现报道如下。 1资料与方法 1.1临床资料 62例患者均经临床触诊确诊乳腺存在肿块，共有病灶73处；肿块直径5.8～49.6mm，平均（1.83±4.86）cm；患者年龄最小21岁，最大62岁，平均（42.6±4.6）岁；所有病灶均经超声检查，诊断为良性肿瘤34例（病灶38处），恶性肿瘤28例（病灶35处），并分别列入到良性组与恶性组；恶性组患者均经手术取肿块样本活检后病理确诊，其中为浸润性