超声造影在乳腺癌前哨淋巴结中的诊断价值及准确性分析

Diagnostic value and accuracy analysis of contrast-enhanced ultrasound in sentinel lymph nodes of breast cancer

目的:分析在对于乳腺癌前哨淋巴结的诊断中应用超声造影的效果和准确性。方法:选择2020年1月—2021年1月我院收治的58例已确诊为乳腺癌患者。以病理诊断结果作为金指标进行判断,对所有患者均进行普通超声检查和超声造影检查,将普通超声检查结果作为对照组,将超声造影检查结果作为观察组,比较两组检查的准确性。结果:58例患者中共检查处前哨淋巴结75枚,非转移性淋巴结49枚,转移性淋巴结为26枚。观察组转移性、非转移性淋巴结检查灵敏度以及整体检查灵敏度均高于对照组,差异有统计学意义(P<0.05)。结论:超声造影可以对乳腺癌患者的腋窝前哨淋巴结进行定位,相对于传统超声的准确性更高,检测的一致性更强,值得推广。

Objective To analyze the effect and accuracy of contrast-enhanced ultrasound in the diagnosis of sentinel lymph nodes in breast cancer.Methods A total of 58 patients with breast cancer admitted to our hospital from January 2020 to January 2021 were selected.The pathological diagnosis results were used as the gold index for judgment,and all patients received conventional ultrasound examination and contrast-enhanced ultrasound examination.The conventional ultrasound examination results were taken as the control group,and contrast-enhanced ultrasound examination results were taken as the observation group to compare the accuracy of the two groups.Results A total of 75 sentinel lymph nodes,49 non-metastatic lymph nodes and 26 metastatic lymph nodes were examined in 58 patients.The sensitivity rates of metastatic and non-metastatic lymph node examinations and the overall sensitivity rates in the observation group were higher than those in the control group,with statistical differences in the above data(P<0.05).Conclusion CEUS can locate the sentinel lymph nodes in patients with breast cancer.Compared with traditional ultrasound,CEUS has higher accuracy and stronger consistency in detection,which is worthy of popularization.