常规超声结合超声弹性成像对乳腺导管内癌诊断的效果体会

Experience of routine ultrasound combined with ultrasound elastography in the diagnosis of breast intraductal carcinoma

目的观察常规超声与超声弹性成像结合应用在乳腺导管内癌患者临床诊断中的效果。方法 106例乳腺导管内癌患者,随机分为对照组与分析组,每组53例。对照组患者接受常规超声检查,分析组患者在常规超声检查基础上接受超声弹性成像检查。对两组患者的确诊情况进行观察比较,并比较分析组患者确诊情况与病理诊断情况。结果对照组患者检查确诊32例(60.38%),分析组患者检查确诊50例(94.34%),两组患者的确诊率比较差异具有统计学意义(X^2=17.451, P=0.000<0.05)。分析组患者接受病理检查后全部确诊(100.00%),与常规超声结合超声弹性成像确诊率(94.34%)比较差异无统计学意义(X^2=3.087, P=0.079>0.05)。结论针对乳腺导管内癌患者的诊断,将常规超声与超声弹性成像联合应用的效果较好,该方案值得推广。

Objective To observe the effect of routine ultrasound combined with ultrasound elastography in clinical diagnosis of patients with breast intraductal carcinoma. Methods A total of 106 patients with breast intraductal carcinoma were randomly divided into control group and analysis group, with 53 cases in each group. The control group received routine ultrasound examination, and the analysis group received ultrasound elastography detection on the basis of routine ultrasound examination. Confirmed diagnosis in two groups was observed and compared, and the confirmed diagnosis and pathological diagnosis in the analysis group was compared. Results The control group had 32 confirmed cases (60.38%), while the analysis group had 50 confirmed cases (94.34%). Both groups had statistically significant difference in confirmed diagnosis rate (χ^2=17.451, P=0.000<0.05). Analysis group had no statistically significant difference in confirmed diagnosis rate (100.00%), comparing with routine ultrasound examination combined with ultrasound elastography (χ^2=3.087, P=0.079>0.05). Conclusion For the diagnosis of patients with breast intraductal cancer, the combination of routine ultrasound and ultrasound elastography is effective, and the scheme is worth popularizing.