乳腺癌腋下淋巴结转移的超声图像特征  

Correlation of Ultrasonographic Features and Oxter Lymph Node Metastasis in Breast Cancer

作　　者：王蓓[1] 周娜[1] 牟洋[1] 翟虹[1] Wang Bei;Zhou Na;Mou Yang(Department of Abdominal Ultrasound, The Traditional Chinese Medicine Hospital Affiliated Xinjiang Medical University, Xinjiang 830000, Chin)

机构地区：[1]新疆医科大学附属中医医院腹部超声科,乌鲁木齐830000

出　　处：《医学研究杂志》2018年第4期147-150,42,共5页Journal of Medical Research

摘　　要：目的 探讨乳腺癌超声声像图特征与腋下淋巴结转移的关系。方法 收集2014年7月~2016年10月笔者医院经超声检查和手术病理确诊的194例浸润性乳腺癌患者的临床资料,采用Spearman等级相关分析法分析超声声像图特征与腋下淋巴结转移的相关性。结果 与无腋下淋巴结转移乳腺癌患者相比,腋下淋巴结转移者在有无边缘毛刺特征、血管指数和腋淋巴结最大皮质厚度等指标差异均具有统计学意义(P<0.05)。Spearman等级相关分析结果显示腋下淋巴结转移与边缘毛刺特征(r=0.351,95%CI:0.246~0.483,P=0.034)、血管分布分级(r=0.402,95%CI:0.193~0.605,P=0.003)、腋淋巴结最大皮质厚度(r=0.636,95%CI:0.439~0.824,P=0.000)呈显著正相关。结论 乳腺癌腋下转移淋巴结在边缘、血管分布分级、皮质厚度等方面有典型的超声声像表现,有助于判断淋巴结转移的情况。Objective To explore the association between SASH1 expression and the ultrasonographic features in breast cancer.Methods From July 2014 to October 2016,a total of 194 patients diagnosed with breast cancer were included in this study. Spearman＇s rank correlation analysis was used to analyze the correlation between oxter lymph node metastasis and the ultrasonographic features. Results Compared with those without axillary lymph node metastasis,there were significant differences in the characteristics of marginal burr,blood flow grade and maximum cortical thickness of axillary lymph nodes in axillary lymph node metastasis（P 0.05）. Spearman rank correlation analysis showed that there was a positive correlation between axillary lymph node metastasis and edge burr（r = 0.351,95% CI： 0.246-0.483,P = 0.034）,blood flow grade（r = 0.402,95% CI： 0.193-0.605,P = 0.003）,the maximum cortical thickness of axillary lymph nodes（r = 0.636,95% CI： 0.439-0.824,P = 0.000）. Conclusion The marginal burr,blood flow grade and maximum cortical thickness of axillary lymph nodes are the most frequent ultrasonographic features of axillary metastatic lymph nodes in breast cancer patients,which could be a predictor of axillary lymph node metastasis.

关 键 词：超声声像图 乳腺癌 淋巴结转移 腋下 

分 类 号：R737.9[医药卫生—肿瘤]