常规二维超声联合超声弹性成像诊断乳腺癌腋窝淋巴结性质价值.docVIP

常规二维超声联合超声弹性成像诊断乳腺癌腋窝淋巴结性质价值 　　[摘要]目的 探究常规二维超声联合超声弹性成像诊断乳腺癌腋窝淋巴结性质的价值。方法 选取2014年3月～2016年12月我院心胸乳腺外科收治的60例乳腺癌患者，采用常规二维超声（C2D-US）、超声弹性成像（UE）及两者联合，对78个同侧腋窝肿大淋巴结进行检查，以超声引导下穿刺病理学活检或术后病理结果为金标准，比较C2D-US、UE及两者联合的诊断结果。结果 病理学活检结果显示，78个淋巴结中良性35个，恶性43个。C2D-US或UE单独诊断以及联合诊断乳腺癌患者腋窝淋巴结良、恶性病灶性质的敏感度分别为74.29%、80.00%和94.29%，特异度分别为79.07%、81.39%和93.02%，准确度分别为76.92%、80.77%和93.59%。联合诊断的灵敏度、特异度和准确度均高于单一采用C2D-US或UE诊断，差异有统计学意义（P0.05）。结论 对乳腺癌患者采用常规二维超声联合超声弹性成像可提高腋窝淋巴结性质诊断的效能，值得临床推广。 　　[关键词]常规二维超声；超声弹性成像；乳腺癌；腋?C淋巴结 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2017）10（a）-0135-03 　　[Abstract]Objective To investigate the value of two-dimensional ultrasound combined with ultrasonic elastography in the diagnosis of axillary lymph nodes in breast cancer.Methods A totalof 60 cases of breast cancer patients in our hospital from March 2014 to December 2016 were selected as research objects.78 identical axillary axillary lymph nodes were examined by conventional two-dimensional ultrasound （C2D-US）， ultrasonic elastography （UE） and joint inspection，the results of pathological biopsy guided by ultrasound wereregardas the gold standard，the diagnostic results of C2D-US，UE and the joint inspection，were compared.Results Pathological biopsy revealed 35 benign lymph nodes and 43 malignant lymph nodes. The sensitivity of C2D-US，UE and C2D-US combined with UE was 74.29%，80.00% and 94.29%，respectively.The specificity was 79.07%，81.39%and 93.02%，respectively.The accuracy was 76.92%，80.77% and 93.59%，respectively.The sensitivity，specificity and accuracy of C2D-US combined with UE in the diagnosis of axillary lymph nodes in breast cancer was significantly higher than that of using single C2D-US or UE diagnosis，the difference was statistically significant （P0.05）.Conclusion The use of conventional two-dimensional ultrasound combined with ultrasonic elastography in the diagnosis of axillary lymph nodes in breast cancer can improve the diagnostic efficacy of axillary lymph nodes，and is worthy of clinical promotion.