实时组织弹性成像联合自动乳腺全容积扫查系统对老年乳腺肿瘤的诊断价值

发布时间：2018-06-08 15:38

本文选题：乳腺肿瘤 + 老年人　；参考：《山东医药》2017年10期

【摘要】：目的探讨实时组织弹性成像(RTE)联合自动乳腺全容积扫查系统(ABVS)诊断老年乳腺肿瘤的临床价值。方法选取老年乳腺肿瘤患者94例(102个病灶),行RTE与ABVS检查,与病理检查结果进行比较。结果102个病灶中恶性病变54个、良性病变48个;RTE检查鉴别乳腺良恶性病变的灵敏度为83.33%、特异度为81.48%、阳性预测值为80.00%、诊断准确率82.35%,ABVS检查鉴别乳腺良恶性病变的灵敏度为87.50%、特异度为83.33%、阳性预测值为82.35%、诊断准确率85.29%,RTE、ABVS联合检查鉴别乳腺良恶性病变的灵敏度为100%、特异度为98.15%、阳性预测值为97.96%、诊断准确率99.02%。RTE、ABVS联合检查鉴别乳腺良恶性病变的灵敏度、特异度、阳性预测值、诊断准确率高于单用RTE与ABVS检查(P均0.05)。结论 RTE与ABVS检查均能用于老年乳腺肿瘤的诊断,但两种检查方法联合应用可明显提高良恶性病变的鉴别诊断水平。
[Abstract]:Objective to evaluate the clinical value of real time tissue elastography (RTE) combined with automatic full volume scanning (ABVS) in the diagnosis of breast tumors in the elderly. Methods 94 cases (102 lesions) of senile breast tumor were examined by RTE and ABVS, and the results were compared with pathological examination. Results 54 of 102 lesions were malignant. The sensitivity, specificity, positive predictive value and diagnostic accuracy of 48 benign and malignant breast lesions were 83.33, 81.48 and 80.00.The sensitivity, specificity and positive predictive value of ABVS were 87.50, 83.33, 87.50, 83.33, 82.35, 87.50, 83.33, 82.35, 87.50, 83.33, 82.35, 87.50, 83.33, 82.35, 83.33, 82.35, 87.50, 83.33, respectively. 82.35 the accuracy of diagnosis was 85.29%. The sensitivity, specificity and positive predictive value of RTE-ABVS in differentiating benign and malignant breast lesions were 100, 98.15, 97.96, 99.02% and 99.02%, respectively. The specificity, positive predictive value and diagnostic accuracy were higher than those of RTE and ABVS alone (P < 0.05). Conclusion both RTE and ABVS can be used in the diagnosis of breast tumors in the elderly, but the combination of the two methods can improve the differential diagnosis of benign and malignant lesions.
【作者单位】：郑州大学附属肿瘤医院;河南省肿瘤医院;
【分类号】：R445.1;R737.9

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