彩超与超声弹性成像在乳腺良恶性占位性病变中的诊断价值比较

Comparison of color Doppler ultrasound and ultrasound elastography in the diagnosis of benign and malignant breast space occupying lesions

目的:比较彩超与超声弹性成像在乳腺良恶性占位性病变中的诊断价值。方法:2017年9月-2018年9月收治乳腺良恶性占位性病变患者1421例,作为对照组,应用彩超诊断。2018年10月-2019年10月收治乳腺良恶性占位性病变患者2005例,作为观察组,应用超声弹性成像诊断。比较两组诊断价值。结果:观察组诊断为乳腺结节420例,其中弹性病灶1级36例,2级320例,3级56例,4级6例,5级2例,检出率达20.95%。对照组诊断为乳腺结节79例,其中BI-RADS 2级19例,3级56例,4级3例,5级结节1例,检出率为5.56%。结论:超声弹性成像在乳腺良恶性占位性病变中的诊断价值高于彩超。

Objective:To explore the value of color Doppler ultrasound and ultrasound elastography in the diagnosis of benign and malignant breast space occupying lesions.Methods:From September 2017 to September 2018,1421 patients with benign and malignant breast space occupying lesions were selected as the control group,and they were diagnosed by color Doppler ultrasound.From October 2018 to October 2019,2005 patients with benign and malignant breast space occupying lesions were selected as the observation group,and they were diagnosed by ultrasound elastography.We compared the diagnostic value of the two groups.Results:In the observation group,420 cases were diagnosed as breast nodules,including 36 cases of grade 1,320 cases of grade 2,56 cases of grade 3,6 cases of grade 4 and 2 cases of grade 5,the detection rate was 20.95%.In the control group,79 cases were diagnosed as breast nodules,including 19 cases of BI-RADS grade 2,56 cases of grade 3,3 cases of grade 4 and 1 case of grade 5,the detection rate was 5.56%.Conclusion:The diagnostic value of ultrasound elastography in benign and malignant breast lesions is higher than that of color Doppler ultrasound.