B超检查在乳腺癌腋窝淋巴结转移中的预测效果

Predicting Effect of B Ultrasound Examination in Axillary Lymph Node Metastasis in Breast Cancer

目的探讨B超检查乳腺癌腋窝淋巴结转移的临床效果。方法整群选取2012年3月—2014年12月在该院治疗的62例乳腺癌患者为研究依据,所有患者均行彩色多普勒超声检查,并与病理学检查诊断结果进行比较,判断腋窝淋巴结转移情况及B超检查的敏感度和准确性。结果 62例病理学诊断结果为:32例为腋窝淋巴结转移,诊断率为51.61%;B超检查共52例出现淋巴结转移,检出率为83.87%,淋巴结转移阳性预测值为94.23%,阴性预测值为70%,病理学与B超诊断结果差异具有统计学意义(P<0.05)。结论乳腺癌腋窝淋巴结转移患者实施B超检查敏感性、准确性较高,可以更好地鉴别淋巴结是否出现转移,具有极高的临床应用价值。

Objective To discuss the predicting effect of B ultrasound examination of axillary lymph node metastasis in breast carcinoma. Methods To select 62 patients of breast cancer in our hospital as research object, all the patients were inspected by color Doppler ultrasound examination, and the axillary lymph node metastasis disease condition were diagnosed, and observe their research results. Results For all 62 patients, it was showed that, 43 patients were diagnosed lymph?node enlargement, 33 patients were diagnosed multiple nodes, up to 76.74%. From B ultrasound examination, 52 patients were diagnosed lymph node metastasis,up to 83.87%, positive predictive value of lymph node metastasis was 94.23%, negative predictive value was 70%. Conclusion Patients of axillary lymph node metastasis in breast cancer inspected by B ultrasound will feature higher accuracy and sensitivity,it can inspect effectively whether lymph node is transfer, for that, it will has rather high clinical application value.