超声弹性成像对乳腺癌腋窝淋巴结转移的诊断价值

The Value of Ultrasound Elastography in the Diagnosis of Breast Cancer Axillary Lymph Node Metastasis

目的:评价乳腺癌腋窝淋巴结转移应用超声弹性成像的预测价值。方法:选取2019年5月至2021年8月期间江门市妇幼保健院收治的疑似乳腺癌腋窝淋巴结转移患者68例为研究对象,所有患者均采用常规超声、超声弹性成像检查,并以病理学检查作为金标准,评价超声弹性成像的预测价值。结果:68例疑似患者经病理学检查,确诊病情者58例。68例患者经常规超声检查,检出42例乳腺癌腋窝淋巴结转移,确诊40例;超声弹性成像检出49例,确诊48例;常规超声、超弹性成像联合检出57例,确诊56例。常规超声联合超声弹性成像检查的检出率、准确度、灵敏度高于单一检查,且超声弹性成像以上指标均优于常规超声,差异具有统计学意义(P<0.05);三种检查方式的特异度比较,差异无统计学意义(P>0.05)。结论:在评价乳腺癌腋窝淋巴结转移诊断中,超声弹性成像检查具有一定的预测价值,如在此过程联合常规超声,更能提高诊断符合率与灵敏度。

Objective To evaluate the predictive value of ultrasound elastography for breast cancer axillary lymph node metastasis.Methods 68 patients with suspected breast cancer axillary lymph node metastasis admitted to Jiangmen Maternity and Child Health Care Hospital from May 2019 to August 2021 were selected as the research objects.All patients were examined by conventional ultrasound and ultrasound elastography.Pathological examination was used as the gold standard to evaluate the predictive value of ultrasound elastography.Results 68 suspected patients were examined by pathology and 58 were diagnosed with the disease.with routine ultrasound examination,68 patients were examined with 42 cases of breast cancer axillary lymph node metastasis,and 40 cases were diagnosed;49 cases were diagnosed by ultrasound elastography,and 48 cases were diagnosed;57 cases were diagnosed by combination of conventional ultrasound and ultrasound elastography,and 56 cases were diagnosed.The diagnostic detection rate,accuracy,sensitivity and specificity of combined examination of conventional ultrasound and ultrasound elastography were higher than those of single examination,and the differences were statistically significant (P < 0.05).Conclusion In evaluating the diagnosis of breast cancer axillary lymph node metastasis,ultrasound elastography has a certain predictive value.If combining with conventional ultrasound in this process,the diagnostic coincidence rate and sensitivity can be improved.