超声弹性成像与二维超声在乳腺良恶性肿块诊断中对比研究.docVIP

超声弹性成像与二维超声在乳腺良恶性肿块诊断中对比研究 　　【摘要】 目的 探讨超声弹性成像与二维超声在乳腺良恶性肿块中的临床应用价值。 方法 对163例（共189个肿块）患者分别进行二维超声成像与超声弹性成像检查，并与病理结果进行对照分析。结果 二维超声诊断乳腺恶性肿块的敏感性、特异性和准确性分别为80.9%（38/47）、98.6%（140/142）、94.2%（178/189）；超声弹性成像诊断乳腺恶性肿块的敏感性、特异性和准确性分别为93.6%（44/47）、95.1%（135/142）、94.7%（179/189）；超声弹性成像与二维超声对乳腺恶性肿块的诊断结果进行比较，差异具有统计学意义（P0.041）。结论 超声弹性成像在诊断乳腺恶性肿块中具有重要临床应用价值，优于二维超声。 　　【关键词】 弹性成像;超声;乳腺;诊断 　　Comparative study of ultrasonic elastography with two-dimensional ultrasound in diagnosis of breast benign and m alignant tumors LONG Ping.Department of Ultrasonography Ruikang Hospital of Guangxi Traditional Chinese Medical University,Guangxi530011,China 　　【Abstract】 Objective To evaluate the clinical value of ultrasonic elastography and two-dimensional ultrasoundin diagnosis of breast benign and m alignant tumors. Methods One hundred and sixty-three patients were detected by ultrasonic elastography and two-dimensional ultrasound, and compared with the pathological results. Results The sensitivity, specificity, and accuracy of two-dimensional ultrasound for diagnosing m alignant breast lesions was 80.9%（38/47）, 98.6%（140/142）, 94.2（178/189）%, respectively.The sensitivity, specificity, and accuracy of ultrasonic elastography for diagnosing m alignant breast lesions was 93.6%（44/47）, 95.1%（135/142）, 94.7%（179/189）, respectively.It was compared with the diagnosing results of ultrasonic elastography and two-dimensional ultrasound, the difference had a statistical significance（P＝0.041）. Conclusion UE proved superior to two-dimensional ultrasound in the detection of breast m alignant tumors. It has a significant clinical value in the diagnosis of benign and m alignant lesion of breast. 　　【Key words】 Elastography； Ultrasound; Breast; Diagnosis 　　目前，诊断乳腺疾病的主要检查方法有超声和钼靶 X线成像。由于超声无放射性、安全、方便、经济和适用性强，在临床上被作为乳腺病变检查的常规???段。但在判断乳腺病变的良恶性方面，这两者均有一定的局限性。二维超声检查主要是依据乳腺肿块的形态、边界及回声分布等特征来判断肿块的良恶性。近年来，超声弹性成像（ultrasound elastography，UE）作为一种新的超声技术出现，其通过探测肿块的硬度，然后与肿块周围的乳腺组织进行比较，获得应变率比值，从而为鉴别乳腺肿块的良恶性提供新的途径。为了探讨UE在诊断乳腺肿块