超声弹性应变率比值在鉴别乳腺良恶性病变中应用价值.docVIP

超声弹性应变率比值在鉴别乳腺良恶性病变中应用价值 　　【中图分类号】R737.9 【文献标识码】A 【文章编号】1672－3783(2011)11－0006－01 　　 　　【摘要】目的 探讨超声弹性应变率比值对乳腺良恶性病变的鉴别诊断价值。方法 对手术病理证实的101例乳腺疾病患者共115个病灶(良性80个，恶性35个)进行超声弹性成像检查，用改良5分法对病灶进行评分；测量病灶与周围同深度组织的弹性应变率比值，以3．08为界点判断病灶良恶性，并与病理诊断结果相对照。结果 超声弹性成像评分法诊断乳腺恶性病变的准确性、敏感度和特异度分别为86.96%、88.57%、86.25%，弹性应变率比值法诊断乳腺恶性病变的准确性、敏感度和特异度分别为94.78%、94.29%、95.0%。良性病灶弹性应变率比值平均为1.82±1.34；恶性病灶弹性应变率比值平均为9.01士7.68，二者差异具有显著统计学意义(PO．01)。结论 超声弹性应变率比值对乳腺疾病的良恶性鉴别具有较高的诊断价值，能为超声实时组织弹性成像检查提供客观的诊断标准。 　　【关键词】超声检查，实时组织弹性成像,应变率比值,乳腺疾病 　　The diagnostic value of Ultrasonic Elastography Strain Ratio in differentiating benign and m alignant breast lesions 　　YI Fang1 , KANG Yu2, 　　【ABSTACT】 Objective To evaluate the diagnostic value of Ultrasonic Elastography Strain Ratio in differentiating benign and m alignant breast lesions. Methods One hundred and one patients with 115 lesions(80benign，35 m alignant)were examined with Real-time Tissue Elastography．The lesion were scored with improved 5-scoring system respectively．By the strain ratio measure method equipped with the ultrasonic machine。strain ratio of the lesion was calculated，with 3．08 as the Cut―off pont．Campared with the pathologic diagnosis. Result The accuracy, sensitivity, and the specificity of Real-time Tissue Elastography for differentiation were 86.96%、88.57%、86.25%. The accuracy, sensitivity, and the specificity of Ultrasonic Elastography Strain Ratio for differentiation were 94.78%、94.29%、95.0%.The average Ultrasonic Elastography Strain Ratio of benign and m alignant leisions was 1.82±1.34 and 9.01士7.68.There was significant difference between them(P＜0.01). Conclusion Ultrasonic Elastography Strain Ratio has higher diagnosis value for differentiating between m alignant and benign breast lesions, providing more objective diagnosis basisn for Real-time Tissue Elastography. 　　【Key words】 Ultrasonography; Real-time Tissue Elastography, Ultrasonic Elastography Strain Ratio ，Breast diseases 近年来，乳腺癌发病率日益增高，早期鉴别乳腺病变的良恶性意义重大。实时组织弹性成像是新近发展的一种针对组织