摘要
目的:探讨超声弹性成像技术联合钼靶X线在乳腺癌保乳手术中的临床应用效果。方法:搜集因乳腺癌拟行保乳手术病人84例,术前评估均运用乳腺超声弹性成像技术和乳腺钼靶X线单独及联合检查。并在术后与病理结果作比较,明确乳腺超声弹性成像技术联合钼靶X线与单一超声和钼靶X线诊断对乳腺癌拟行保乳术前的影像学表现和准确度。结果:乳腺超声弹性成像联合钼靶X线的病灶检出率高于单一的乳腺超声弹性成像检测或单一的钼靶X线检查的病灶检出率(P<0.05和P<0.01);在腋窝淋巴结转移检出率方面,乳腺超声弹性成像联合钼靶X线检查在病灶检出率为70.73%,乳腺超声弹性成像检出率为60.98%,乳腺钼靶X线检出率为53.31%,但差异无统计学意义(P>0.05);在可行保乳术的准确度方面联合检查均高于单一的乳腺超声弹性成像和钼靶X线(P<0.05)。结论:超声弹性成像和乳腺钼靶联合检查运用于乳腺癌保乳术更有助于提高疾病的准确率,为临床提供更多的参考价值。
Objective:To investigate the clinical application value of ultrasound elastography combined with molybdenum target in the breast conserving surgery of breast cancer.Methods:Eighty-four breast cancer patients scheduled by breast conserving surgery were detected using ultrasound elastography and mammography alone and in combination before operation.The imaging findings and accuracy of breast ultrasound elastography combined with mammography and mammography alone were determined by comparing with the postoperative pathological results.Results:The detection rate of breast lesions detected by ultrasound elastography combined with molybdenum target X-ray was significantly higher than that detected by ultrasound elastography alone and mammography alone(P<0.05 and P<0.01).The detection rates of axillary lymph node metastasis of ultrasound elastography,mammography and ultrasound elastography combined with mammography were 60.98%,53.31%and 70.73%,respectively,but the difference of which was not statistically significant(P>0.05).The ultrasound elastography combined with mammography in evaluating the feasibility of breast conserving surgery was more accurate than the other two methods(P<0.05).Conclusions:The application of ultrasound elastography combined with mammography in breast conserving surgery is more helpful to improve the accuracy of the disease,and provide more reference value for clinical practice.
作者
吴莹莹
孙医学
陈赛赛
WU Ying-ying;SUN Yi-xue;CHEN Sai-sai(Department of Ultrasound,Tranditional Chinese Medical Hospital of Taihe,Taihe Anhui 236600;Department of Ultrasound,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004;Department of Breast Surgery,The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei Anhui 230031,China)
出处
《蚌埠医学院学报》
CAS
2021年第9期1232-1235,共4页
Journal of Bengbu Medical College
关键词
乳腺肿瘤
保乳术
超声弹性成像
钼靶X线
breast neoplasms
breast conserving therapy
ultrasound elastography
mammography
