彩色多普勒超声联合超声弹性成像在早期乳腺癌诊断中的应用价值

The value of color Doppler ultrasound combined with elastography in the diagnosis of early breast cancer

目的探讨彩色多普勒超声联合超声弹性成像在早期乳腺癌诊断中的应用价值。方法选取本院2015年3月至2019年12月收治的60例乳腺癌患者作为研究对象。对所有患者分别进行彩色多普勒超声和超声弹性成像检查。比较两种检查方法单用与联用在早期乳腺癌诊断中的准确性及特异性。结果联合检查特异性为93.10%(27/29),灵敏度为93.55%(29/31),准确性为93.33%(56/60),均明显高于单一检查指标,差异有统计学意义(P<0.05);乳腺癌钙化类型以Ⅰ型为主,良性结节钙化以Ⅲ型为主,比较差异有统计学意义(P<0.05);弹性成像乳腺癌阳性及阴性值效能明显高于高频彩色多普勒超声,差异有统计学意义(P<0.05)。结论乳腺癌的诊断中应大力推广弹性成像技术,且应与彩色多普勒超声联合应用,以提高诊断的准确率,降低漏诊、错诊率,值得临床推广应用。

Objective To explore the value of color Doppler ultrasound combined with ultrasound elastography in the diagnosis of early breast cancer.Methods 60 breast cancer patients admitted to our hospital from March 2015 to December 2019 were taken as the study subjects.All patients were examined by color Doppler ultrasound and ultrasound elastography.The accuracy and specificity between the two methods in the diagnosis of early breast cancer were compared.Results The specificity of combined examination was 93.10%(27/29),the sensitivity was 93.55%(29/31),the accuracy was 93.33%(56/60),which were significantly higher than those of single examination(P<0.05).The main type of breast cancer calcification is type I,and the main type of benign nodule calcification is typeⅢ,the difference was statistically significant(P<0.05);the positive and negative value of breast cancer in the elastic imaging was significantly higher than those in high-frequency color Doppler ultrasound,and the difference was statistically significant(P<0.05).Conclusion In the diagnosis of breast cancer,elastography technology should be promoted,and it should be combined with color Doppler ultrasound,so as to improve the accuracy of diagnosis,reduce the rate of missed diagnosis and error diagnosis,it is worthy of clinical promotation.