常规超声联合超声弹性成像定性诊断腋窝淋巴结的价值

Value of Routine Ultrasound Combined with Ultrasonic Elastography in Qualitative Diagnosis of Axillary Nodes

目的对腋窝淋巴结应用常规超声联合超声弹性成像定性诊断的临床价值进行探究。方法对自2016年4月—2017年9月间在该院接受腋窝淋巴结诊治的患者资料进行回顾性分析,随机选择88例患者作为研究对象,应用彩色多普勒超声诊断仪对患者进行诊断,分析对比检查结果。结果转移性淋巴结形态以Ⅱ型、Ⅲ型为主,非转移性淋巴结形态以Ⅰ型为主。转移性淋巴结血流分型以Ⅲ型为主,非转移性淋巴结血流分型以及Ⅰ型、Ⅱ型为主。常规超声检查腋窝淋巴结准确度为70.45%,特异度为66.67%,敏感度为73.08%,超声联合弹性成像分别为85.23%、77.78%、90.38%,准确度差异有统计学意义(χ~2=5.937 5,P=0.036 4),特异度差异有统计学意义(χ~2=4.375 8,P=0.032 8),敏感度差异有统计学意义(χ~2=8.347 6,P=0.045 8)。结论对腋窝淋巴结应用常规超声联合超声弹性成像检查具有较高的诊断准确度、特异度和敏感度,临床应用价值较高。

Objective To study the value of routine ultrasound combined with ultrasonic elastography in Qualitative diagnosis of axillary nodes. Methods 88 cases of patients with axillary nodes diagnosed in our hospital from April 2016 to September 2017 were retrospectively analyzed, and the patients were diagnosed by the color Doppler ultrasonic diagnostic instrument, and the examination results were compared. Results The metastatic lymph node shape was mainly type Ⅱ and type Ⅲ, and the non-metastatic lymph node shape was mainly type Ⅰ, and the blood flow typing of metastatic lymph node was mainly type Ⅲ, and the blood flow typing of non metastatic lymph node was type Ⅰ and type Ⅱ, and the accuracy, specificity and sensitivity of routine ultrasound and ultrasonic elastography in testing the axillary nodes were respectively 70.45%, 66.67%, 73.08% and 85.23%,77.78%,90.38%, and the differences in the three indicators were statistically significant,（χ^2=5.937 5,P=0.036 4）,（χ^2=4.375 8,P=0.032 8）,（χ^2=8.347 6,P=0.045 8）. Conclusion The accuracy, specificity and sensitivity of routine ultrasound combined with ultrasonic elastography in qualitative diagnosis of axillary nodes are higher, and the clinical application value is higher.