超声弹性成像诊断乳腺小结节病灶诊断价值研究

Diagnostic Value of Ultrasound Elastography in Diagnosing Small Breast Nodules

目的:探究乳腺小结节病灶采用超声弹性成像的诊断价值.方法:于2018年4月~2019年3月随机选取本院经彩超发现乳腺小结节的124例患者,所有患者均通过彩超诊断仪对结节性质进行判断,并采用超声弹性成像对结节性质进行判断.并记录不同检查方法的诊断灵敏度、特异度以及准确性.结果:病理结果乳腺小结节恶性50例,彩超检查与超声弹性成像的灵敏度分别为32.00%、84.00%;病理检查乳腺小结节良性74例,彩超检查特异度63.51%,超声弹性成像检查的特异度82.43%;彩超对乳腺小结节良恶性诊断准确率50.81%;超声弹性成像对乳腺小结节良恶性诊断准确率83.06%;与彩超相比,超声弹性成像的灵敏度、特异度、准确率更高(P<0.05).结论:乳腺小结节病灶采用超声弹性成像的诊断价值显著,可使患者的诊断准确率显著提高.

Objective:To explore the diagnostic value of ultrasound elastography for small breast nodular lesions.Methods:From April 2018 to March 2019,124 patients with small breast nodules found by color Doppler ultrasound in our hospital were randomly selected.All patients were judged by the color Doppler ultrasound system to determine the nature of the nodules,and ultrasound elastography was used to determine the nature of the nodules Make judgments.And record the diagnostic sensitivity,specificity and accuracy of different inspection methods.Results:The pathological findings were 50 cases of malignant breast nodules,the sensitivity of color Doppler ultrasound examination and ultrasound elastography were 32.00%and 84.00%respectively;pathological examination of 74 cases of benign breast nodules,the specificity of color Doppler ultrasound examination was 63.51%,the specificity of ultrasound elastography examination was 82.43%;color Doppler ultrasound diagnosis of benign and malignant breast nodules 50.81%;ultrasound elastography diagnosis of benign and malignant breast nodules accuracy rate 83.06%;compared with color Doppler ultrasound,ultrasound elastography sensitivity,specificity,accuracy higher(P<0.05).Conclusion:The diagnostic value of ultrasound elastography for small breast nodular lesions is significant,which can significantly improve the diagnostic accuracy of patients.