常规超声联合超声弹性成像技术在乳腺癌诊断中的价值

APPLICATION OF CONVENTIONAL ULTRASOUND COMBINED WITH ULTRASOUND ELASTOGRAPHY IN DIAGNOSIS OF BREAST CANCER

目的：探讨在基层医院使用常规超声及超声弹性成像技术在乳腺癌术前诊断和两者联合诊断中的应用价值。方法术前采用超声弹性成像及常规超声技术对我院临床触及乳腺肿块的116例患者进行检查，并与手术后的组织病理结果对照，分析超声弹性成像及超声弹性成像与常规超声联合诊断乳腺癌的准确性及影像学特征。结果116例患者乳腺病变手术病理诊断良性42例，恶性74例。①术前常规超声诊断乳腺良性病变41例，恶性病变65例，超声显示良性病变呈圆形或椭圆形，边缘光滑，内未见明显微小钙化；乳腺癌恶性征象为毛刺征（87.84％，65／74），病变内多见微小钙化（62.16％，46／74）。与病理诊断结果对照，术前常规超声诊断符合率为91.38％（106／116）。②超声弹性成像诊断乳腺良性病变39例，恶性病变66例，良性病变超声弹性成像评分为1∽2分（92.86％，39／42）；恶性病变超声弹性成像评分为3∽5分（89.19％，66／74）；与病理诊断结果对照，术前超声弹性成像诊断符合率为90.51％（105／116）。③术前超声弹性成像与常规超声联合检查诊断良性病变42例，恶性病变68例，与病理诊断符合率为94.82％（110／116）。结论超声弹性成像与常规超声联合检查可提高乳腺良恶性病变术前诊断符合率，可在基层医院作为乳腺癌术前诊断有效的检查方法。

Objective To explore the application value in primary hospitals using conventional ultrasound and ultrasonic elastography in the diagnosis and surgery of breast cancer both in the diagnosis of joint.Methods One hundred and sixteen patients with breast disease confirmed by surgical pathology were studied retrospectively .All the patients were examined by acoustic elastogra-phy and conventional ultrasonography before surgery.Results Pathological results of 116cases were：74 malignanies and 42 benigni-ties.①Preoperative routine ultrasonography in diagnosis of benign breast lesions in 41 cases, 65 cases of malignant lesions.Ultra-sonography showed that benign lesions were round or oval, smooth edge, no obvious signs of malignant microcalcifications, breast cancer spiculation （87.84%, 65/74）, intralesional calcification （62.16%, 46/74）.With the pathology of routine preoperative ul-trasound diagnosis coincidence rate was 91.38%（106/116）.②Ultrasonic elastography in diagnosis of breast benign lesions in 39 ca-ses, 66 cases of malignant lesions, benign lesions of ultrasound elastography score of 1-2 （92.86%, 39/42）; malignant lesions of ultrasound elastography score of 3-5 （89.19%, 66/74）;and the pathology of preoperative ultrasound elastography diagnosis coinci-dence rate was 90.51% （105/116）.③Preoperative ultrasound elastography and conventional ultrasound diagnosis of 42 cases of be-nign lesions, 68 cases of malignant lesions, and pathological diagnosis coincidence rate was 94.82% （110/116）.Conclusion Ul-trasound elastography and conventional ultrasound examination can improve the resection of benign and malignant breast lesions diag-nosis in primary hospital diagnosis, as an effective method for the detection of breast cancer before operation .