首页|常规超声与超声弹性成像在女性乳腺病变中的图像特征对比及诊断价值

常规超声与超声弹性成像在女性乳腺病变中的图像特征对比及诊断价值

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目的:探讨与分析常规超声(US)与超声弹性成像(UE)在女性乳腺病变中的图像特征对比及诊断价值.方法:选择2020年8月~2022年12月在本院检查的87例女性乳腺病变患者,所有患者均给予US与UE检查,记录图像特征并判断诊断价值.结果:在87例女性乳腺病变患者中,病理特征为乳腺癌27例(研究组),病理特征为良性或炎症性乳腺病变60例(对照组);研究组的病灶微钙化、病灶低回声、病灶边缘模糊、病灶形状不规则等US特征占比分别为81.5%、85.2%、85.2%、88.9%,与对照组的30.0%、36.7%、35.0%、33.3%相比有明显提高(P<0.05).研究组的病灶UE半定量评分多集中为4分与5分,对照组多集中为2分与3分,两两对比有明显差异(P<0.05).US与UE在女性乳腺病变中的鉴别诊断敏感性分别为77.8%、96.3%,特异性分别为98.3%、100.0%.结论:US与UE都能很好显示女性乳腺病变的图像特征,能判断乳腺病变的良恶性状况,但相较于US而言,UE的鉴别诊断价值更高,可为乳腺癌的早期诊断提供有意义的参考价值.
Comparison of Image Features and Diagnostic Value of Conventional Ultrasound and Ultrasound Elastography in Female Breast Lesions
Objective:To explore and analysis the comparative imaging features and diagnostic value of conventional ultrasound and ultrasound elastography in female breast lesions.Methods:From August 2020 to December 2022,87 female patients with breast lesions examined in our hospital were selected,all of whom were given US and UE examinations to record the image features and determine the diagnostic value.Results:Among the 87 female patients with breast lesions,the pathological features were breast cancer in 27 cases(study group)and benign or inflammatory breast lesions in 60 cases(control group).The proportion of US features in the study group were 81.5%,85.2%,85.2%and 88.9%,respectively,compared with 30.0%,36.7%,35.0%and 33.3%in the control group(P<0.05).The UE semi-quantitative scores in the study group were mainly 4 and 5 points,while those in the control group were mainly 2 and 3 points,with significant difference(P<0.05).The sensitivity and specificity of US and UE in the differential diagnosis of female breast lesions were 77.8%and 96.3%,and 98.3%and 100.0%respectively.Conclusion:Both US and UE can well display the image characteristics of female breast lesions and judge the benign and malignant status of breast lesions.However,compared with US,UE has higher differential diagnostic value and can provide meaningful reference value for the early diagnosis of breast cancer.

conventional ultrasoundultrasound elastographywomenbreast lesionsimage featuresdiagnostic value

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天津市宁河区潘庄医院超声科 (天津 301508)

常规超声 超声弹性成像 女性 乳腺病变 图像特征 诊断价值

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(10)