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作 者:郭晓波[1] 刘颖[1] 包玉瑜[1] 胡耀红[1] 池淑宏[1]
机构地区:[1]南京军区福州总医院476临床部超声科,福建福州350002
出 处:《现代生物医学进展》2015年第6期1109-1111,1137,共4页Progress in Modern Biomedicine
摘 要:目的:研究超声成像技术对腋窝淋巴结性质的诊断价值。方法:从2013年5月至2014年2月,选择我院50例乳腺癌患者,对所有患者进行弹性成像技术检测出74个腋窝淋巴结。对所有腋窝淋巴结使用四分法进行评分,将其与手术病理结果进行比较。结果:74个腋窝淋巴结中,反应性淋巴结有42个,纵径为(0.9-2.4)cm,平均纵径为(1.31±0.33)cm;乳腺癌腋窝淋巴结转移个数为25个,纵径为(1.2±3.8)cm,平均纵径为(2.04±0.72)cm。良性淋巴结弹性评分大多为1分(54.55%)以及2分(27.27%),恶性淋巴结评分多为3分(63.33%)以及4分(20.00%)。恶性淋巴结评分为(3.12±0.61)分,良性淋巴结评分为(1.68±0.74)分,结果显示,两组淋巴结弹性评分具有较大差异(即P<0.05),具有可比性。结论:综上所述,超声弹性成像技术操作较为简便,效果较为直观,评分法能够提供组织的硬度信息,在临床工作中,与常规超声联合应用有利于提高评价腋窝淋巴结良恶性性质的准确度。值得临床推荐使用。Objective: To study the value of ultrasound elasticity imaging technology in the diagnosis of axillary lymph node characteristic. Methods: 50 cases of patients with breast cancer underwent elastography detection of 74 axillary lymph nodes in our hospital from 2013 May to 2014 February. The quartering methods was used to evaluate the axillary lymph node, and the results were compared with those of pathology. Results: Among 74 axillary lymph nodes, there were 42 reactive lymph nodes, the longitudinal diameter was(0.9-2.4) cm, and average longitudinal diameter was(1.31 ± 0.33) cm; The number of breast cancer metastatic axillary lymph node was 25, the longitudinal diameter was(1.2 ± 3.8) cm, and the average longitudinal diameter was(2.04 ± 0.72) cm. Benign lymph node elastic score was mostly 1 point(54.55%) and 2 points(27.27%), malignant lymph node score was mostly 3 points(63.33%)and 4 points(20%).The score for malignant lymph node was(3.12 ± 0.61)points, and was(1.68 ± 0.74)points for benign lymph nodes,the results showed there was statistically significant difference in lymph node elastic score between two groups(P〈0.05). Conclusion: The ultrasound elasticity imaging technology was easily operative, more intuitively clear, the scoring method can provide tissue hardness information, by combining with conventional ultrasonography, it will help in improving accuracy of the evaluation of benign and malignant lymph nodes. It is worthy of wide application.
分 类 号:R445.1[医药卫生—影像医学与核医学]
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