超声弹性成像在乳腺肿块良恶性诊断中应用价值.docVIP

超声弹性成像在乳腺肿块良恶性诊断中应用价值 　　[摘要] 目的 探讨超声弹性成像在乳腺肿块良恶性诊断中的应用价值。 方法 选择乳腺肿块患者119例，每位患者选取1个实性病灶，术前均进行常规超声检查、超声弹性成像检查，对每个病灶进行弹性成像分级，诊断结果与术后病理结果进行比较。 结果 以弹性评分≥4分为高度恶性的预测指标，病理证实119个实性病灶中良性43个，恶性76个，弹性成像对乳腺病灶良恶性诊断的灵敏度为89.47%，特异度为93.02%，准确度为90.75%。超声弹性成像评分中1～3分与病理结果的一致性程度较理想（Kappa=0.56），4分与病理结果的一致性程度不理想（Kappa=0.24），5分与病理结果的一致性程度极好（Kappa=0.91）。 结论 超声弹性成像有助于提高对乳腺肿块良恶性诊断的准确性。 　　[关键词] 乳腺肿块；常规超声检查；超声弹性成像 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2015）02（b）-0093-03 　　Application value of ultrasound elasticity imaging in diagnosis of malignant and benign breast tumor 　　HUANG Yu-hong LIN Zhen-yi LIANG Yan-yan CHEN Wei-jun 　　Department of Apparatus Test，People′s Hospital of Yangjiang City in Guangdong Province，Yangjiang 529500，China 　　[Abstract] Objective To investigate the application value of ultrasound elasticity imaging in diagnosis of malignant and benign breast tumor. Methods 119 patients with breast tumor were selected，1 solid lesion was selected in each patient，and all patients were given the routine ultrasound examination and ultrasound elasticity imaging before operatin，elastography classification was conducted for each lesion，the diagnostic result was compared with pathology result. Results The elastic score ≥ four points was selected as predictor of high malignancy，among 119 solid lesion，43 were benign and 76 confirmed pathologically were malignant，the sensitivity was 89.47%，the specificity was 93.02%，the accuracy was 90.75% of ultrasound elasticity imaging in diagnosis of malignant and benign breast tumor.The degree of consistency of 1～3 points of ultrasound elastography score and pathological result was more ideal （Kappa=0.56），the degree of consistency of 4 points and pathological result was not ideal （Kappa=0.24），the degree of consistency of 5 points and pathologic result was excellent （Kappa=0.91）. Conclusion Ultrasound elasticity imaging is helpful to improve the accuracy of diagnosis of breast tumor. 　　[Key words] Breast tumor；Routine ultrasound examination；Ul