超声弹性成像与超声引导下细针穿刺细胞学检查对乳腺结节的诊断价值分析  

Diagnostic Value of Ultrasonic Elastography and Ultrasound-Guided Fine Needle Aspiration Cytology in Breast Nodules

作　　者：王静[1] 王磊[1] 潘小杰[1] 李小强 赵庆华[1] WANG Jing;WANG Lie;PAN Xiaojie;LI Xiaoqiang;ZHAO Qinghua(Department of Ultrasonography,Liaocheng People’s Hospital,Liaocheng Shandong 252000,China)

机构地区：[1]聊城市人民医院超声科,山东聊城252000

出　　处：《中国医疗设备》2023年第7期86-89,共4页China Medical Devices

摘　　要：目的 分析比较超声弹性成像(Ultrasonic Elastography,UE)、超声引导下细针穿刺细胞学检查(Ultrasound-Guided Fine Needle Aspiration Cytology,US-FNAC)对乳腺结节的诊断价值,为乳腺结节诊断方案的选择提供依据。方法 选取2021年2月至2023年1月在我院就诊的207例乳腺结节患者。术前行UE、US-FNAC,分析两种方法诊断乳腺结节的敏感度、特异性和准确度,比较其临床诊断价值。结果 207个乳腺结节,其中良性结节113个、恶性结节94个。UE诊断良性结节94个、恶性结节79个;US-FNAC诊断良性结节107个、恶性结节86个。UE的敏感度、特异性、准确度分别为84.04%、83.19%、83.57%;US-FNAC的敏感度、特异性、准确度分别为91.49%、94.69%、93.24%,US-FNAC的敏感度、特异性、准确度均高于UE(P<0.05)。结论 US-FNAC诊断乳腺结节的效率高于UE,但各有不足,实际应用中应将二者联合应用以扬长避短,提高乳腺结节的早期诊断率。Objective To analyze and compare the diagnostic value of ultrasound elastography(UE)and ultrasound-guided fine needle aspiration cytology(US-FNAC)in breast nodules,and to provide basis for the selection of diagnostic schemes for breast nodules.Methods A total of 207 patients with breast nodules who were admitted to our hospital from February 2021 to January 2023 were selected.Preoperative UE and US-FNAC were used to analyze the sensitivity,specificity and accuracy of the two methods in the diagnosis of breast nodules,and their clinical diagnostic values were compared.Results There were 207 breast nodules,including 113 benign nodules and 94 malignant nodules.UE diagnosed 94 benign nodules and 79 malignant nodules;US-FNAC diagnosed 107 benign nodules and 86 malignant nodules.The sensitivity,specificity and accuracy of UE were 84.04%,83.19%and 83.57%,respectively.The sensitivity,specificity and accuracy of US-FNAC were 91.49%,94.69%and 93.24%,respectively.The sensitivity,specificity and accuracy of US-FNAC were higher than those of UE(P<0.05).Conclusion US-FNAC is more efficient than UE in the diagnosis of breast nodules,but both of them have their own shortcomings.In practical application,they should be combined to develop their strengths and avoid their weaknesses,so as to improve the early diagnosis rate of breast nodules.

关 键 词：超声弹性成像 超声引导下细针穿刺细胞学检查 乳腺结节 早期诊断 

分 类 号：R737.9[医药卫生—肿瘤]