常规超声和超声弹性成像联合在诊断不同大小乳腺病变中的应用

Conventional Ultrasound and Ultrasound Elastography in the Diagnosis of Different Size Joint of Breast Lesions

目的:探讨超声弹性成像在诊断大小不同乳腺病变中的价值。方法:采用常规超声及超声弹性成像对156例患者共170个乳腺病灶进行检查,利用改良5分评分法进行评价。所有患者均行手术经病理证实。结果:常规超声联合弹性成像对≤3cm的乳腺病变的诊断灵敏度显著高于常规超声(P<0.01),其中联合诊断对于≤1cm病灶的灵敏度可达到100%。而对于>3cm乳腺病灶的超声弹性成像特异性很高,但是其诊断的灵敏度较低结论:常规超声与超声弹性成像的联合诊断,提高了乳腺恶性病变的检出率。对于1cm以下的乳腺小病灶联合诊断的优势极显无疑,弹性成像对大于3cm的乳腺病变检诊特异性高。

Objective： To Discussion that Ultrasound elastography in the diagnosis of breast lesions of different sizes value.Methods： Conventional ultrasound and ultrasound elastography in 156 patienls with 170 breast lesions were checked using a modified scoring method for evaluation 5.All patients underwent surgery confirmed by pathology.Results：Conventional ultrasound elastography of breast lesions≤ 3cm diagnostic sensitivity was significantly higher than conventional ultrasound（P〈0.01）, which combined diagnostic sensitivity fbr lesions ≤1 cm up to 100%.As for 〉3cm ultrasound elastography of breast lesions in a high specificity, but its diagnostic sensitivity is low.Conclusions： Conventional ultrasound combined with diagnostic ultrasound elastography to improve the detection rate of breast malignancy. 1 cm below the joint diagnosis of small breast lesions is undoubtedly very significant advantage,flexible imaging of breast lesions greater than 3era high specificity Detection and Diagnosis.