摘要
目的探讨超声弹性成像在乳腺小肿块性质诊断及鉴别诊断中的应用价值。方法方便选取并回顾该院于2014年1月—2016年1月收治的80例乳腺小肿块患者手术病理及超声资料,并加以分析。结果 80例患者术后病理结果显示恶性肿块31例、良性肿块49例。以病理结果为＂金标准＂,常规超声检查诊断乳腺小肿块性质的准确度为77.50%（62/80）、敏感度为77.42%（24/31）、特异度为77.55%（38/49）;超声弹性成像诊断准确度为91.25%（73/80）、敏感度为90.32%（28/31）、特异度为91.84%（45/49）,差异有统计学意义（P〈0.05）;超声弹性成像评分中1~3分、4~5分评分结果与病理结果一致性程度极好（Kappa=0.86、0.78）。结论超声弹性成像诊断乳腺小肿块性质具有较高的准确度、敏感度及特异度,仍需结合常规超声,可为临床诊治提供重要信息。
Objective To investigate the application values of elastosonography in the qualitative and differential diagnosis of small solid breast lumps. Methods Convenient selection the post-operative pathological and ultrasonic data of 80 patients from January 2014 to January 2016 with small breast lumps were retrospectively analyzed. Results Among the 80 patients,31 patients had malignant lumps and 49 had benign ones, as revealed by the post-operative pathological results. With pathological result as ＂gold standard＂, the accuracy, sensitivity, and specificity of routine ultrasonography in diagnosis of small breast lumps were 77.50%（62/80）, 77.42%（24/31）, and 77.55%（38/49）, respectively; while those of elastosonography were 91.25%（73/80）, 90.32%（28/31）, and 91.84%（45/49）, respectively; and the differences were statistically significant（P〈0.05）. The elastosonography scores were excellently accordant with the corresponding pathological results（Kappa = 0.86 and 0.78 for 1＇-3＇ and 4＇-5＇, respectively）. Conclusion Elastosonography has high accuracy, sensitivity, and specificity in diagnosis of small breast lumps, and can provide important information for clinical diagnosis and treatment combined with routine ultrasonography.
出处
《中外医疗》
2016年第17期190-191,共2页
China & Foreign Medical Treatment
关键词
超声检查
弹性成像
乳腺疾病
乳腺肿块
Ultrasonography
Elastosonography
Breast disease
Breast lump
作者简介
[作者简介]李萍（1972．12-），女，四川安岳人，本科，主治医师，主要从事超声临床诊断工作。
