超声介入活检在乳腺叶状肿瘤中的临床应用  

The Clinical Application of Ultrasound Interventional Biopsy in Mammary Phyllodes Tumor

作　　者：林伟利[1] 钱江洁 虞希祥[1,3] 

机构地区：[1]温州医科大学附属第三医院超声影像科,温州325200 [2]瑞安市人民医院麻醉科 [3]温州医科大学温州市第三临床学院

出　　处：《数理医药学杂志》2017年第8期1110-1113,共4页Journal of Mathematical Medicine

摘　　要：目的:分析超声介入活检在乳腺叶状肿瘤中的临床应用价值。方法:选取某院收治的乳腺叶状肿瘤患者44例作为研究对象,所有患者均接受超声介入活检诊断,观察患者的影像学表现,并将诊断结果与术后病理诊断结果进行对照,计算其诊断不同类型乳腺叶状肿瘤的灵敏度、特异性。结果:所有44例患者经超声介入活检检查后,确诊或倾向于诊断为良性肿瘤的患者34例,诊断为交界性肿瘤的患者6例,诊断为恶性肿瘤的患者4例。观察其超声表现,均可见肿瘤单发,直径在7mm^100.2mm之间,平均之间为(39.4±11.5)mm,≥50mm的巨型肿瘤仅有14例(31.82%),多数肿瘤病灶的边界清晰(39例),肿瘤的内部回声以实性肿块为主(36例),形态以分叶状为主(32例),血流信号则以血流信号欠丰富或无血流信号为主(39例)。将乳腺叶状肿瘤患者的超声介入活检诊断结果与术后病理诊断结果进行对照,可见其总的诊断准确度可达97.73%(43/44)。其中,良性肿瘤、交界性肿瘤以及恶性肿瘤的诊断灵敏度、特异性均接近或为100.0%,比较均无统计学差异(P>0.05)。结论:超声介入活检应用于乳腺叶状肿瘤的诊断中,具有较高的诊断灵敏度、特异性和准确率,可以为患者的治疗提供可靠依据,值得临床推广应用。Objective：To analyze the clinical application value of ultrasonic interventional biopsy in mammary phyllodes tumor.Methods：Select 44 cases of patients with PTB（phyllode tumor of the breast）in some hospital as the research object,diagnose all the patients with interventional ultrasound in biopsy,observe patients＇ imaging features,compare the diagnosis results with that of postoperative pathological diagnosis,calculated the sensitivity and specificity of different types which have been diagnosed.Results：All 44 patients underwent ultrasound interventional biopsy examination,diagnosis,or inclined to 34 patients with diagnosis of benign tumors,6patients were with diagnosed with border tumors,4patients were diagnosed as malignant tumor patients.The ultrasound findings showed that single-shot visible tumors were 7mm to 100.2mm in diameter,the average between was（39.4±11.5）mm,50 mm or higher of giant tumor only 14cases（31.82%）,most of the tumor lesions had clear boundary（39cases）,tumor internal echo was given priority to with solid tumors（36cases）,form is given priority to with lobulated（32cases）,blood flow signals were mainly owe rich blood flow signal or no blood flow signals（39cases）.The diagnostic results of ultrasound interventional biopsy in patients with breast follicular tumors were compared with those of postoperative pathological diagnosis.The total diagnostic accuracy was 97.73%（43/44）.The internal echo of tumor was mainly solid mass（36cases）.（32cases）,the blood flow signal was mainly due to blood flow signal or no blood flow signal（39cases）.Compared the Among them,the diagnostic sensitivity and specificity of benign tumors,borderline tumors and malignant tumors were nearly 100.0%,it had no statistical difference（P〈0.05）.Conclusion：Application of ultrasound interventional biopsy in breast cancer diagnosis,has higher diagnostic sensitivity,specificity and accuracy,and it can provide reliable basis for the treatment of patients with,and it is worthy of

关 键 词：超声介入活检 乳腺叶状肿瘤 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]