弹性应变比值联合BI-RADS在乳腺小肿块定性诊断中的应用价值  

The value of elastography strain ratio combined with breast imaging repaoting and data system in the diagnosis of the nature of breast small mass

作　　者：李健[1] 冯景[1] 王洲[1] 张伟丽[1] 刘晓燕[1] 殷延华[1] 蒋爱清[1] 陈飞[1] 王晓东[2] 

机构地区：[1]安徽省亳州市人民医院超声科,236800 [2]安徽省亳州市人民医院普外科,236800

出　　处：《蚌埠医学院学报》2015年第9期1252-1254,共3页Journal of Bengbu Medical College

摘　　要：目的：探讨弹性应变比值联合超声乳腺影像报告和数据系统（ BI-RADS）在乳腺小肿块定性诊断中的应用价值。方法：以常规超声诊断为BI-RADS 2~4级实性乳腺肿块120个为研究对象,在弹性成像模式下对所有肿块进行弹性应变比值检测,综合2种方法作出定性诊断,并与病理诊断对照分析。结果：120个乳腺肿块病理诊断结果均为良性,其中纤维腺瘤79个,乳腺腺病39个,导管内乳头状瘤1个,脂肪坏死1个。 BI-RADS分级情况：2级4个,3级76个,4级40个。120个乳腺肿块弹性应变比值为0.43~3.04,平均应变比值1.78±1.30。联合应用BI-RADS评分和弹性应变比值法诊断120个乳腺肿块均为良性,诊断符合率100%。结论：超声弹性成像联合BI-RADS能够提高对乳腺小肿块的定性诊断价值,可为微创旋切选择合适的病例。Objective：To evaluate the diagnostic value of elastography strain ratio combined with breast imaging repaoting and data system（ BI-RADS） in the nature of breast small mass. Methods：The elastography strain ratios of 120 cases with BI-RADS grade 2 to 4 solid mammary masses diagnosed by ultrasound were detected. The nature of breast small masses were identified using the combined two methods,which was compared with the pathological result. Results：All breast masses were benign, which included 79 cases of fibroadenoma,39 cases of adenosis,1 case of intraductal papillomas and 1 case of fat necrosis. The grade 2 in 4 cases, grade 3 in 76 cases and grade 4 in 40 cases were identified by BI-RADS grade. The minimum,maximum and average？ elastography strain ratio in 120 cases were 0. 43 to 3. 04 and（1. 78 ± 1. 30）,respectively. The 120 benign breast masses were diagnosed by the elastography strain ratio combined with BI-RADS,the diagnostic accordance rate of which was 100%. Conclusions：The elastography strain ratio combined with BI-RADS can improve the qualitative diagnosis of small breast mass,which can provide the appropriate case for mammotome.

关 键 词：乳腺肿块 超声检查 应变比值 微创旋切 

分 类 号：R655.8[医药卫生—外科学]