超声弹性成像与彩色多普勒血流显像在乳腺良恶性肿块诊断中的价值  

Value of Ultrasonic Elastography and Color Doppler Ultrasonography in Breast Lesions Qualitative Diagnosis

作　　者：单叔煤[1] 李彩娟[1] 孙迎燕[1] 赵毅玲[1] 王玉成[1] 

机构地区：[1]牡丹江医学院红旗医院超声科,牡丹江157011

出　　处：《中国医疗器械信息》2015年第2期37-39,共3页China Medical Device Information

基　　金：黑龙江省科学技术厅应用技术研究与开发计划项目(项目编号:GZ13C003);牡丹江市科学技术局科学技术计划项目(项目编号:Z2013s050)

摘　　要：目的:探讨超声弹性成像(UE)与彩色多普勒血流显像(CDFI)在诊断乳腺良恶性病变中的价值。方法:对经病理证实的138例患者143个乳腺肿块,进行CDFI与UE检查的回顾性分析。病灶的血流分级采用Adler半定量法;UE评分采用5分法。结果:143个病灶中,良性病灶107个,恶性病灶36个。CDFI诊断乳腺恶性肿块的敏感性为83.3%,特异性为91.6%,准确性为89.5%;UE诊断乳腺恶性肿块的敏感性为91.6%,特异性为95.3%,准确性为94.4%。UE与CDFI结果对照,UE诊断乳腺恶性病变的准确性高于CDFI。结论:UE在诊断敏感性、特异性和准确性方面较CDFI有明显的优势,临床鉴别乳腺实性病灶良恶性时,CDFI联合UE有助于提高乳腺恶性肿瘤诊断的准确性。Objective： To discuss the value of diagnosing benign and malignant breast lesions between UE and CDFI. Methods： The 143 breast lumps of 138 patient＇s were analyzed by CDFI and UE. The TIMI flow grades of lesions were analyzed by Adler semi-quantitative method, and the UE lesions were analyzed by 5 points method. Results： 143 breast lumps, 107 benign lesions and 36 malignant lesions. The accuracy of the diagnosis of malignant breast lesions of UE is higher than of CDFI. Conclusion： The accuracy of the breast malignant tumor diagnosis could be improved by the joint of CDFI and UE.

关 键 词：实时超声弹性成像 彩色多普勒血流显像 乳腺肿块 

分 类 号：R445.1[医药卫生—影像医学与核医学]