对比超声弹性成像和常规超声诊断乳腺肿瘤良恶性应用意义.docVIP

对比超声弹性成像和常规超声诊断乳腺肿瘤良恶性应用意义 　　[摘要] 目的 对比分析应用超声弹性成像和常规超声诊断乳腺肿瘤良恶性的价值差异。 方法 方便选取2013年6月―2016年6月间来该院行手术治疗的112例（共135个病灶）乳腺肿瘤患者，入院后分别进行常规超声检查与超声弹性成像检查，对比手术病理结果，分析两组间的良恶性鉴别诊断差异。结果 84例良性病灶常规超声74例诊断为良性，10例误诊为恶性；51例恶性病灶中，45例诊断为恶性，6例误诊为良性，诊断符合率为88.15%，诊断恶性敏感度为88.24%，特异度为88.10%；超声弹性成像78例诊断为良性，6例误诊为恶性；49例诊断为恶性，2例误诊为良性，诊断符合率为94.07%，诊断恶性敏感度为96.08%，特异度为92.86%；超声弹性成像诊断正确率为93.33%，常规超声为81.48%，两者相对比，差异有统计学意义（P0.05）。结论 对乳腺肿瘤良恶性鉴别，超声弹性成像诊断准确率显著高于常规超声，因此值得在临床中推广应用。 　　[关键词] 乳腺肿瘤；良恶性；常规超声；超声弹性成像；诊断 　　[中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2017）01（a）-0188-03 　　[Abstract] Objective To comparative analysis application of ultrasound elasticity imaging and conventional ultrasound diagnosis value differences in breast benign and malignant tumor. Methods Convenient selection in June 2013 to June 2016 to our line of surgical treatment of 112 cases （135 lesions） breast cancer patients， after admission to conventional ultrasound and ultrasound elasticity imaging， contrast surgical pathology results， analysis the differential diagnosis of benign versus malignant masses of differences between two groups. Results 84 cases， 84 cases of benign lesions conventional ultrasound diagnosis for benign， 10 cases were misdiagnosed as malignant； 51 cases of malignant lesions， 45 cases diagnosed as malignant， 6 cases were misdiagnosed as benign， diagnostic coincidence rate was 88.15%， the diagnosis of malignant sensitivity was 88.24%， 88.10%； Ultrasonic elasticity imaging of 78 cases diagnosed as benign， 6 cases were misdiagnosed as malignant； 49 cases diagnosed as malignant， 2 cases misdiagnosed as benign， diagnostic coincidence rate was 94.07%， the diagnosis of malignant sensitivity was 96.08%， 92.86%； Ultrasound elasticity imaging diagnostic accuracy was 93.33%， the conventional ultrasound was 81.48%， the relative ratio（P0.05）. Conclusion For breast benign and malignant tumor differentiation， ultrasound elasticity imaging diagnostic accuracy is significantly higher than conventional ultrasound， thus is wor