实时超声弹性成像对乳腺病变穿刺活体组织检查的指导价值  

Clinical value of real-time tissue elastography in ultrasound-guided percutaneous breast lesions biopsy

作　　者：吴秀花[1] 李晓琴[1] 施燕芸[1] 刘英姿[1] 程立华[1] 黄雪春[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院,213003

出　　处：《实用医技杂志》2014年第10期1056-1057,共2页Journal of Practical Medical Techniques

摘　　要：目的评价实时超声弹性成像（RTE）技术对乳腺病变穿刺活检的指导价值。方法超声引导下乳腺病变穿刺活检62例,穿刺前全部病例均经超声弹性成像评分,穿刺后对比超声诊断与病理结果。结果 62例乳腺穿刺活检病理结果：良性病变21例,恶性病变41例,穿刺病例的总阳性预报值为66%。结论依据超声弹性成像评估标准选择穿刺患者,提高乳腺病变活检的阳性率,减少穿刺的盲目性。超声弹性成像评分1～3分者基本不需要穿刺活检,多数可采取短期随访观察;评分4～5分者应穿刺活检。Objective To explore the value of real-time tissue elastography（RTE）in ultrasound-guided percutaneous biopsy of breast disease. Methods Ultrasonography-guided biopsy was performed in 62 patients who were marked four and five grade with standards of RTE to compare ultrasound diagnosis with pathologic examination. Results There were 21 cases with benign findings,41 cases with malignancy. The overall positive predictive value was 66%. Conclusion Sonography-guided biopsies are selected according to the RTE assessment categories,which could reduce its blindness. RTE 1-3 don′t require biopsy or short-term follow-up while RTE 4-5 need immediate biopsy.

关 键 词：乳腺 人 弹性成像技术 活组织检查 针吸 

分 类 号：R655.8[医药卫生—外科学]