乳腺癌病灶的超声特点与保乳根治术预后的相关性  

Logistic Regression Analysis of the Ultrasound Characteristics of Breast Cancer Lesions and Prognosis After Radical Breast-conserving Surgery

作　　者：郑章增 郭满[1] 相泓冰[1] ZHENG Zhangzeng;GUO Man;XIANG Hongbing(Nanyang Central Hospital,Nanyang,473000)

机构地区：[1]河南省南阳市中心医院,473000

出　　处：《实用癌症杂志》2022年第1期114-116,共3页The Practical Journal of Cancer

基　　金：河南省科技攻关项目(编号:202102310096)。

摘　　要：目的分析乳腺癌病灶的超声特点与保乳根治术术后预后的相关性。方法随机选择乳腺癌患者113例,根据保乳术后是否复发将其分成预后良好组(n=83)和不良组(n=30)。保乳术前使用超声检查。探究2组患者超声特征,并分析乳腺癌病灶的超声特点与保乳根治术术后预后的相关性。结果预后良好组和不良组患者超声图像特征中钙化、血流分布、边界、淋巴结转移差异比较有统计学意义(P<0.05),形状、内部回声、后方回声差异比较无统计学意义(P>0.05)。Logistic回归分析结果显示超声特点中细钙化、血流分布、边界模糊、淋巴结转移是影响保乳根治术术后预后的独立预测因素(P<0.05)。结论乳腺癌病灶的超声特点与保乳根治术术后预后有关,其中细钙化、血流分布、边界模糊提示预后不良风险大。Objective To discuss the ultrasound characteristics of breast cancer lesions and prognosis after radical breast-conserving surgery based on logistic regression analysis.Methods A total of 113 patients with breast cancer were enrolled,and divided into 2 groups according to the presence or absence of recurrence after radical breast-conserving surgery,good prognosis group(n=83)and poor prognosis group(n=30).All patients received ultrasound examinations before surgery.The ultrasound characteristics of the 2 groups was compared.Then the factors influencing the prognosis of patients with radical breast-conserving surgery were screened using logistic regression analysis.Results The ultrasound characteristics including calcifications,blood flow distribution,borders,and lymph node metastases had significant difference between the 2 groups(P<0.05),and no statistically significant differences was found in shape,internal echogenicity,or posterior echogenicity(P>0.05).Logistic regression analysis showed that fine calcification,blood flow distribution,border blurring and lymph node metastasis in ultrasound features were independent predictors of prognosis after radical breast-conserving surgery(P<0.05).Conclusion The ultrasound characteristics of breast cancer lesions are associated with prognosis after radical breast-conserving surgery,moreover,fine calcification,blood flow distribution and blurred borders suggest a high risk of poor prognosis.

关 键 词：乳腺癌病灶 超声 保乳根治术 预后 

分 类 号：R737.9[医药卫生—肿瘤]