超声弹性成像在乳腺良恶性肿瘤鉴别诊断中的应用价值  

Ultrasonic Elastography Application Value in The Differential Diagnosis in Breast Benign and Malignant Tumor

作　　者：霍华[1] Huo Hua(Guangdong Second Province General Hospital Guangdong Guangzhou 510000)

机构地区：[1]广东省第二人民医院超声科,广东广州510000

出　　处：《现代医用影像学》2018年第2期380-381,387,共3页Modern Medical Imageology

摘　　要：目的:探讨超声弹性成像参数在乳腺良、恶性肿瘤鉴别诊断中的应用价值。方法:以病理诊断结果为金标准,对经手术或穿刺病理证实的120例乳腺病灶的超声弹性成像图进行对比分析,总结乳腺良恶性肿瘤在弹性参数上的差异。结果:120例乳腺肿瘤病灶中,经病理诊断为良性肿瘤74例,恶性肿瘤46例,超声弹性成像显示乳腺恶性病变平均硬度高于良性肿瘤(P<0.05);肿瘤在弹性图和二维图中的直径比、面积比参数在良恶性肿瘤的鉴别诊断中差异有统计学意义(P<0.05)。结论:超声弹性成像通过对肿块硬度的评价,结合病灶直径比及面积比在乳腺良恶性肿瘤的鉴别诊断中有重要的应用价值。Objective： To explore the ultrasound elasticity imaging parameters in the diagnosis of benign and malignant breast tumors to identify application value. Methods： To pathological diagnosis as the gold standard,120 cases of confirmed by surgery or biopsy in breast lesions on ultrasound elasticity imaging analysis,summary of breast benign and malignant tumor in the differences of elastic parameters. Results： The 120 cases of breast tumor lesions,pathologic diagnosis of74 cases of benign tumors,46 cases of malignant tumor,ultrasound elasticity imaging shows mammary gland malignant lesions in the average hardness higher than that of benign tumors（ P〈0. 05）; Tumors in the elastic figure and 2 d figure diameter ratio,area ratio parameters in the differential diagnosis of benign and malignant tumor have the difference was statistically significant（ P〈0. 05）. Conclusion： Ultrasound elasticity imaging through evaluation of mass hardness,combined with focal diameter ratio,area ratio in the differential diagnosis of benign and malignant breast tumors has important application value.

关 键 词：超声弹性成像 乳腺良恶性肿瘤 应用价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]