B超诊断乳腺癌腋窝淋巴结转移的临床效果观察  

Clinical Effect of B-Ultrasound for Diagnosis of Axillary Lymph Metastases of Breast Carcinoma

作　　者：罗晓[1] 

机构地区：[1]广东省东莞市虎门医院超声科,广东东莞523900

出　　处：《临床医学工程》2016年第5期571-572,共2页Clinical Medicine & Engineering

摘　　要：目的观察B超诊断乳腺癌腋窝淋巴结转移的临床效果。方法选取2012年2月至2015年2月期间我院诊治的86例乳腺癌患者作为观察对象,均进行B超检查,以病理学诊断为金标准进行分析,探讨其B超诊断乳腺癌腋窝淋巴结转移的临床效果。结果 B超检查乳腺癌腋窝淋巴结转移的灵敏度、特异性、准确率分别为95.77%、73.33%、91.86%。经B超检查分析,有淋巴结转移的72例患者,其腋窝淋巴结直径≥8 mm者72例,血流丰富者70例,内部回声不均匀者69例,与无转移的患者相比,差异有显著统计学意义(P<0.01)。结论 B超检查对乳腺癌腋窝淋巴结转移的诊治具有重要的临床指导意义。Objective To observe the clinical effect of B-ultrasound for diagnosis of axillary lymph metastases of breast carcinoma. Methods A total of 86 cases of patients with breast carcinoma admitted to our hospital from February 2012 to February 2015 were selected as research objects. All patients received B-ultrasound examination. With the results of pathological diagnosis as gold standard, the clinical effects of B-ultrasound for diagnosis of axillary lymph metastases of breast carcinoma were analyzed. Results The sensitivity, specificity and accuracy of B-ultrasound for diagnosis of axillary lymph metastases of breast carcinoma were 95.77%, 73.33% and 91.86% respectively. 72 cases of lymph node metastasis were found by B-ultrasound; The ultrasonic features included 72 cases of diameter of axillary lymph node greater than or equal to 8 mm, 70 cases of rich blood flow, and 69 cases of uneven internal echo; Compared with patients without metastases, all the differences were statistically significant （P〈0.01）. Conclusions B-ultrasound has important clinical significance for diagnosis of axillary lymph metastases of breast carcinoma.

关 键 词：B超 乳腺癌 腋窝 淋巴结 转移 病理 

分 类 号：R73-37[医药卫生—肿瘤]