超声萤火虫联合弹性成像技术在乳腺结节良恶性鉴别诊断中的价值

发布时间：2019-07-17 09:14

【摘要】：目的探讨超声"萤火虫"技术联合弹性成像技术鉴别乳腺结节良恶性的价值。方法选择行乳腺结节手术患者92例,术前共发现乳腺结节112个,术后病理活检显示:恶性病变27个、良性病变85个。术前分别对乳腺结节采用超声"萤火虫"技术和弹性成像技术进行检查,并与术后病理检查结果进行比较。结果超声"萤火虫"技术判断乳腺结节良恶性的敏感性、特异性、准确性分别为94.12%、88.89%、92.86%,超声弹性成像技术分别为92.94%、85.19%、91.07%,联合检测分别为98.82%、92.59%、97.32%。二者联合应用的敏感性、特异性、准确性均高于二者单独检测(P均0.05),二者单独检测的敏感性、特异性、准确性比较差异均无统计学意义(P均0.05)。结论超声"萤火虫"技术联合弹性成像技术有助于提高乳腺结节良恶性诊断的敏感性、特异性,降低漏诊率,具有较高的临床应用价值。
[Abstract]:Objective To study the value of ultrasonic "firefly" technique combined with elastic imaging in the differential diagnosis of benign and malignant breast nodules. Methods 92 cases of breast nodule operation were selected, and 112 cases of breast nodules were found before operation. The results showed that there were 27 malignant lesions and 85 benign lesions. Before operation, the ultrasonic "firefly" technique and the elastic imaging technique were used to check the breast nodules, and the results were compared with the results of the postoperative pathological examination. Results The sensitivity, specificity and accuracy of ultrasonic "firefly" were 94.12%, 88.89%, 92.86%, 92.94%, 85.19%, 91.07% and 98.82%, 92.59% and 97.32%, respectively. The sensitivity, specificity and accuracy of the combined application were higher than that of the two alone (P <0.05). The sensitivity, specificity and accuracy of the two methods were not statistically significant (P <0.05). Conclusion The combination of ultrasonic "firefly" and elastic imaging can improve the sensitivity, specificity and rate of misdiagnosis of benign and malignant breast nodules, and have high clinical application value.
【作者单位】：滨州医学院烟台附属医院;
【分类号】：R737.9;R445.1

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