乳腺微小占位性病灶的超声弹性成像与病理检查结果对照分析

Comparison of Ultrasound Elastic Imaging and Pathological Results of Miniature Space-occupying Lesions

目的对超声弹性成像(UE)进行乳腺微小占位性病灶良恶性鉴别的价值进行探析。方法回顾性分析自2014年3月—2017年5月间在该院接受超声检查的104例患者,所纳入患者均经手术病理证实可见乳腺微小占位性病灶,给予患者常规超声检查和超声弹性成像检查,对比两种检查结果。结果病理检查结果显示,全部104个病灶中共67例良性病灶,37例恶性肿瘤。UE乳腺肿块恶性病灶敏感性为88.57%,特异性为91.30%,准确性为90.38%,CUS乳腺肿块恶性病灶敏感性为53.13%,特异性为72.22%,准确性为66.35%,对比可见差异有统计学意义(P<0.05)。结论对进行乳腺微小占位性病灶行超声弹性成像鉴别具有较高的诊断准确率,具有一定的临床应用价值。

Objective This paper tries to explore the value of ultrasonography(UE)in benign and malignant breast lesions.Methods A retrospective analysis of 104 patients who received ultrasound in this hospital from March 2014 to May 2017 were examined by ultrasonography.The patients included were confirmed by surgery and pathology in the breast of small occupying lesions,with conventional ultrasound and ultrasound elastic imaging examination,and the two test results were compared.Results Pathological results showed that 67 cases of benign lesions,37 cases of malignant tumors.The sensitivity of malignant breast lesions was 88.57%,the specificity was 91.30%,the accuracy was 90.38%,the sensitivity of CUS breast mass was 53.13%,the specificity was 72.22%,the accuracy was 66.35%,and the difference was significant(P<0.05).Conclusion It is of great clinical value to evaluate the accuracy of ultrasonography in mammary gland microsatellite lesions.