二维超声、弹性成像对乳腺肿块诊断价值的评价  

Evaluation of diagnosis of breast tumors with two-dimensional ultrasound and ultrasonic elastography

作　　者：赵巧玲[1] 李芬[2] 盛薇[3] 段绍雪[1] 张华[1] 阮骊韬[1] 

机构地区：[1]西安交通大学医学院第一附属医院超声影像科,陕西西安710061 [2]西安交通大学医学院第一附属医院妇幼中心,陕西西安710061 [3]西安交通大学医学院第一附属医院普通外科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2011年第6期765-767,777,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

摘　　要：目的评价二维超声、弹性成像在鉴别诊断乳腺良、恶性肿块中的价值。方法对随机来我院检查的103例患者共109个乳腺肿块分别进行二维超声和弹性超声检查,结果与病理对照并进行分析。结果二维超声和弹性成像在鉴别乳腺良、恶性肿块中的价值相当(敏感性、特异性和准确性分别为81.58%、80.28%、80.73%和84.21%,85.92%,85.32%,P>0.05),但联合应用则诊断的准确性明显提高(90.83%,P<0.05)。结论弹性成像能帮助诊断二维超声较难鉴别的乳腺良、恶性病变,两者联合应用可进一步提高乳腺肿块的鉴别诊断能力。Objective To evaluate the value of two-dimensional ultrasound and ultrasonic elastography in differentiating benign and malignant breast tumors.Methods A total of 109 breast masses in 103 patients were examined with two-dimensional ultrasound and elastosonography,and the sonograms and elastograms were analyzed,respectively.The results were compared with histopathology.Results No significant difference was found between the two groups in differentiating benign from malignant breast tumors,which indicated a similar diagnostic value.When the two techniques were combined,accuracy was significantly improved(90.83%,P<0.05).Conclusion Ultrasonic elastography plays an important role in differentiating tumors which are difficult for two-dimensional ultrasound.The diagnostic accuracy in differentiating benign from malignant breast tumors can be improved by two-dimensional ultrasonography and elastosonography in combination.

关 键 词：二维超声 弹性成像 评分法 乳腺肿瘤 诊断 联合应用 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]