常规超声检查联合VTI技术对鉴别诊断乳腺良恶性病变的价值探析  

Value of conventional ultrasonography combined with VTI technique in differential diagnosis of benign and malignant breast lesions

作　　者：王晖 左莉莉[2] 

机构地区：[1]湖北省恩施自治州中心医院超声医学科,湖北恩施445000 [2]河北省衡水市哈励逊国际和平医院职业健康查体科,河北衡水053000

出　　处：《医学影像学杂志》2018年第1期69-72,共4页Journal of Medical Imaging

基　　金：河北省衡水市科技计划项目(科技支撑计划)(编号:14004A)

摘　　要：目的探析常规超声检查联合声触诊组织成像(VTI)技术对鉴别诊断乳腺良恶性病变的价值。方法选择2015年2月~2016年7月在我院接受手术治疗的乳腺肿瘤患者280例(共计280个乳腺病灶)作为观察对象,患者在术前均接受常规超声检查、VTI检查,在VTI检查下对乳腺病变分级,观察乳腺病灶的清晰程度,同时分别通过常规超声、常规超声联合VTI技术对乳腺病变展开BI-BADS分级。分析病理结果,比较乳腺良性病变和乳腺恶性病变的VTI分级、病灶边界清晰程度,同时对比常规超声与常规超声联合VTI技术诊断乳腺良恶性病变的特异性、敏感性和准确度。结果手术病理学显示280个乳腺病灶中良性的202个(占72.1%),恶性的78个(占27.9%);乳腺良性病变的VTI分级主要为II^III级,占77.2%,乳腺恶性病变的VTI分级主要为IV^V级,占80.8%;乳腺良性病变中23.8%在VTI模式下病灶边界清晰,乳腺恶性病变中75.6%在VTI模式下病灶边界清晰;常规超声诊断乳腺病变的特异性、敏感性和准确度为55.3%、96.2%和67.7%,常规超声联合VTI技术诊断乳腺病变的特异性、敏感性和准确度为85.5%、98.3%和89.5%,两者检查的特异性和准确度比较差异有统计学意义(P<0.05)。结论常规超声检查联合VTI技术在乳腺良恶性病变的鉴别诊断中具有十分高的价值,能够提高诊断的特异性和准确性,值得临床推广应用。Objective To investigate the value of conventional ultrasonography combined with acoustic palpation tissue ima- ging （VTI） in the differential diagnosis of benign and malignant breast lesions. Methods A total of 280 breast cancers （280 breast lesions） were treated in our hospital from February, 2015 to July, 2016. The patients underwent routine ultrasonography, VTI, and VTI. The degree of breast lesion was observed under the examination. At the same time, BI-BADS classification was carried out by conventional ultrasound, conventional ultrasound and VTI. We analyzed the pathological resuhs, compared the VTI classification of breast benign lesions and malignant breast lesions, the clarity of lesion boundary, and compared the specificity, sensitivity and accuracy of conventional ultrasound and conventional ultrasound combined with VTI technique in the diagnosis of benign and malignant breast lesions. Results The pathologic findings of benign lesions were 202 （72.1%） and 78 （27.9%）, respectively. The grade of VTI in benign breast lesions was grade II -III （77.2%）. The VTI grade of the malignant lesion was 80.8% , and the lesion with clear margin was 23.8% in the benign breast lesion and 75.6% in the malignant lesion. The lesion boundary was clear in the VTI mode. The specificity, sensitivity, and accuracy of the conventional ultrasound diagnosis of breast lesions were 55.3%, 96.2% and 67.7%. The specificity, sensitivity and accuracy of conventional ultrasound combined with VTI were 85.5%, 98. 3% and 89.5%, respectively. The specificity of the two tests and the accuracy of the difference was statistically significant （ P 〈 0.05 ）. Conclusion Conventional uhrasonography combined with VTI is valuable in the differential diagnosis of benign and malignant breast lesions. It can improve the specificity and accuracy of diagnosis, which is worthy to be popularized in clinic.

关 键 词：乳腺病变 超声检查 声触诊组织成像 鉴别诊断 临床价值 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]