超声弹性成像在乳腺实性肿块定性诊断中的应用  

The application of ultrasound elastography in breast solidary masses qualitative diagnosis

作　　者：张蓓蓓[1] 董方[1] 张延彬[1] 钱晓蕊[1] 王燕[1] 程文峰[1] 

机构地区：[1]山东省聊城市第二人民医院超声科,252600

出　　处：《中国医药》2011年第6期719-720,共2页China Medicine

摘　　要：目的 探讨超声弹性成像在乳腺实性肿块定性诊断中的应用价值。方法对90例女性乳腺肿块患者共100个病灶行术前超声弹性成像检查，并进行弹性成像评分。以术后病理结果为诊断标准，评价超声弹性成像对乳腺实性肿块定性诊断的准确性。结果100个乳腺实性肿块的术后病理检查结果：良性占位73个（63例），恶性占位27个（27例）。弹性成像评分结果：良性占位（〈3分）67个（57例）；恶性占位（≥3分）33个（33例）。超声弹性成像定性诊断乳腺实性肿块的准确性为94％。结论超声弹性成像在乳腺实性肿块定性诊断中具有较高的准确性和独特的优势，但也存在一定的误差，故仍需结合其他检测手段和临床症状，以提高乳腺实性肿块性质鉴别的准确率。Objective To explore ultrasound elastography for breast solidary masses qualitative diagnosic values. Methods Ninty female patients with 100 breast tumors was exmanined with ultrasonic elastoghraphy. The pathologic results were used as diagnostic standard to evaluate the accuracy of ultrasonic elastography in the diagnosis of breast tumors. Results One hundred breast solid masses after histopathologic examination showed： benign lesion in 63 cases （73 lesions）, malignant lesion in 27 cases （27 lesions）. ElastogTaphy scores showed： 67 lesions were benign （ 〈 3 scores） and 27 lesions were malignant （ ≥3 scores） . The accuracy of ultrasonic elastography for diagnosis of breast tumors was 94%. Conclusion Uhrasound elastography in qualitative diagnosis of breast tumors has high accuracy, but it still needs to be combined with other detection methods and clinical symptoms to improve breast tumors diagnosis.

关 键 词：超声弹性成像 乳腺实性肿块 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]