摘要
目的:对比超声弹性成像与传统超声对乳腺实性小肿块(直径≤20mm)良恶性的鉴别诊断。方法:对106例乳腺实性小肿块患者先行灰阶超声、彩色和频谱多普勒超声检查,再行实时超声弹性成像检查。弹性成像采用改良5分法进行评价,将超声诊断结果与病理结果进行对照。结果:以弹性评分4-5分为恶性预测标准,其诊断乳腺小肿块良、恶性的敏感性、特异性和准确性分别为:82.86%,97.18%,80.04%。传统超声诊断乳腺小肿块良、恶性的敏感性、特异性和准确性分别为:54.28%,87.32%,41.60%。两者准确性差异有统计学意义(P<0.01)。结论:超声弹性成像在乳腺实性小肿块良恶性病灶鉴别诊断方面的特异度及准确度优于传统超声。
Objective：To compare the value of ultrasonic elastography（UE） and conventional ultrasound（CUS） in differentiating the benign and malignant small solid breast neoplasms.Methods：The static sonograms of CUS and UE of the 106 small solid breast neoplasms pathologically proved were reviewed,and compared the accuracy of CUS and UE for diagnosing the benign and malignant of small solid breast neoplasms.Results：The sensitivity,specificity,accuracy of UE were 82.86%,97.18%,80.04% respectively,and those of CUS were 54.28%,87.32%,41.60% respectively.Conclusion：The specificity and accuracy of ultrasonic elastography are much higher than conventional ulrasound for differential diagnosing benign and malignant small solid breast neoplasms.
出处
《现代肿瘤医学》
CAS
2012年第11期2317-2319,共3页
Journal of Modern Oncology
关键词
弹性成像
超声检查
乳腺实性小肿块
鉴别诊断
ultrasonic elastography
ultrasonography
small solid breast neoplasms
differential diagnosis
