超声造影与超声弹性成像技术对乳腺良恶性肿块的诊断效能研究  

Study on the disgnostic efficacy of contrast-enhanced ultrasound and ultrasound elastosonography in benign and malignant breast masses

作　　者：郭周颖 李洪娥[1] GUO-ZHOU Ying;LI Honge(Department of Ultrasound Medicine,the First People’s Hospital of Lanyungang,Jiangsu Province,Lianyungang222000,China)

机构地区：[1]江苏省连云港市第一人民医院超声科,江苏连云港222000

出　　处：《中国医药导报》2022年第28期33-36,共4页China Medical Herald

基　　金：江苏省连云港市科技计划(社会发展)项目(SF2112)。

摘　　要：目的对比超声造影、超声弹性成像技术应用于乳腺肿块良恶性鉴别诊断中的临床价值。方法选取2020年1月至12月于江苏省连云港市第一人民医院乳腺外科收治的90例乳腺肿块手术患者。术前患者均行超声造影和超声弹性成像检查,参照手术后病理检查结果,比较两种影像学诊断方法对良恶性肿块的诊断准确率、特异度和敏感度。结果90例乳腺肿块患者经手术后病理检查确诊为良性52例,恶性38例。超声造影诊断乳腺良恶性肿块的灵敏度、特异度为86.84%、84.62%;Kappa值为0.66,具有中等一致性。超声弹性成像诊断乳腺良恶性肿块的灵敏度、特异度为92.11%、90.38%;Kappa值为0.82,具有较好的一致性。结论超声造影和超声弹性成像技术在乳腺良恶性肿块的鉴别诊断中均具有很高的诊断效能。Objective To compare the clinical value of contrast-enhanced ultrasound and ultrasound elastosonography in the differential diagnosis of benign and malignant breast masses.Methods Ninety patients with breast masses admitted to the Department of Breast Surgery,the First People’s Hospital of Lianyungang of Jiangsu Province from January to December 2020 were selected.Before operation,all patients were examined by contrast-enhanced ultrasound and ultrasound elastosonography,the imaging features,accuracy,specificity,and sensitivity of differential diagnosis of benign and malignant masses were compared.Results A total of 90 cases of breast mass were proved to be benign in 52 cases and malignant in 38 cases.The sensitivity and specificity of contrast-enhanced ultrasound in the diagnosis of benign and malignant breast masses were 86.84%and 84.62%,respectively;Kappa value was 0.66,with medium consistency.The sensitivity and specificity of ultrasound elastography in diagnosing benign and malignant breast masses were 92.11%and 90.38%,respectively;Kappa value was 0.82,which was in good agreement.Conclusion Contrast-enhanced ultrasound and ultrasound elastography have high diagnostic efficiency in the differential diagnosis of benign and malignant breast masses.

关 键 词：超声造影成像 超声弹性成像 乳腺肿块 鉴别诊断 

分 类 号：R445[医药卫生—影像医学与核医学]