彩色多普勒血流成像联合弹性成像多参数分析在乳腺肿块鉴别诊断中价值.docVIP

彩色多普勒血流成像联合弹性成像多参数分析在乳腺肿块鉴别诊断中价值 　　摘要：目的 探讨常规多普勒超声（CDFI）联合超声弹性成像（UE）多参数分析在乳腺良?盒灾卓榧?别诊断中的价值。方法 回顾性分析2015年1月～12月85例患者的92个乳腺肿块的CDFI表现及UE多参数分析，以术后病理结果作为金标准，对CDFI、UE及两者联合诊断对乳腺肿块的鉴别价值采用SPSS18.0 统计软件进行分析，率的比较采用χ2检验，P0.05 为差异有统计学意义。结果 CDFI结果与病理结果相符67个病灶，其诊断敏感性、特异性、准确率分别为：70.0%（16/23），73.9%（51/69），71.7%（67/92）。UE多参数综合诊断结果与病理结果相符71个病灶，其诊断敏感性、特异性及准确性分别为73.9%（17/23），78.4%（54/69），77.2%（71/92）。CDFI与UE联合诊断敏感性、特异性、准确率分别为：86.9%（20/23），89.9%（62/69），89.1%（82/92）。以上三种诊断方法对乳腺肿块的诊断准确率比较，联合应用常规超声与弹性成像技术能明显提高诊断敏感性，特异性及准确率（P0.05）。结论 CDFI联合UE多参数分析可提高乳腺肿块诊断准确率。 　　关键词：乳腺肿块；彩色多普勒血流显像；弹性成像技术；联合诊断 　　Abstract：Objective To study the value of the combination of color doppler ultrasound and elastography multiparameter in the diagnosis of breast tumor. Methods Clinical characteristics of 92 nodules in 85 patients were examined by color doppler ultrasound and elastography， with postoperative pathology results as gold standard. Comparison was made between the diagnosis of the ultrasound and pathology results by using SPASS 18.0 software to evaluate clinical value of combined application of doppler ultrasound and elastography in the differential diagnosis of breast nodules. The test was used in the ratio comparison， and P0.05 was considered statistically significant. Results The diagnostic results of 67 nodules using CDFI were in accordance with the athological results. The sensitivity， specificity，and accuracy of CDFI in detecting breast nodules were 70.0%，73.9%，and 71.7% respectively. 71 nodules using UE were in accordance with the athological results. The sensitivity， specificity，and accuracy of CDFI in detecting breast nodules were 73.9%，78.4%，and 77.2% respectively. Those of combination of CDFI and UE were 86.9%，89.9%，and 89.1% respectively. There wsa significant difference between three diagnostic performances in the differential diagnosis of benign and malignant breast nodules（P0.05）. Conclusion The combination of CDFI and UE could improve the diagnostic accuracy of breast nodules. 　　Key word