常规超声结合弹性成像对乳腺癌的诊断价值

Conventional combination of ultrasonic elastography diagnostic system in the diagnosis of breast cancer

目的:探讨常规超声结合弹性成像(ultrasonic elastography,UE)对乳腺癌诊断的临床价值。方法:502例患者,共567个肿块纳入本研究,分为良性组及恶性组,对比2组患者间临床资料差异有无统计学意义。结果:常规超声联合UE诊断乳腺癌的敏感性为93.8%,特异性为88.1%,准确性为90.3%,敏感性和准确性均高于常规超声,差异有统计学意义(χ2=369.5,P<0.001),同时也高于单项UE(χ2=332.2,P<0.001)。结论:在规范评分指标的前提下常规超声联合UE对鉴别乳腺良恶性肿块具有较高的临床应用价值,可提高诊断乳腺癌的敏感性和准确性,对乳腺癌的早期诊断及术前分期具有重要参考价值。

Objective：Inquiry in to the conventional combination of ultrasonic elastography in patients with breast cancer diagnosis system on the clinical value of diseases.Methods：Interception May 2010-November 2011,a total of 502patients in our hospital,a total of 567lumps into this research,by organizational group of benign and malignant form were divided into benign and malignant groups,comparing differences between two sets of patient clinical data.Results：Ultrasonic diagnostic system（conventional ultrasound combined with UE）diagnostic sensitivity of breast cancer 93.8%,specificity of 88.1%,the accuracy of 90.3%,sensitivity and accuracy were higher than conventional ultrasound,differences were statistically significant（χ2= 369.5,P〈0.001）,but also higher than individual UE（χ2=332.2,P0.001）.Conclusion：The standard scoring indicators under the premise of establishing evaluation system of ultrasonic（UT joint UE）for differential diagnosis of benign and malignant breast masses with high clinical value,you can improve the sensitivity and accuracy of diagnosis of breast cancer,early diagnosis and preoperative staging of breast cancer with important reference value.