首页|实时组织超声弹性成像对乳腺肿块良恶性的诊断准确性分析

实时组织超声弹性成像对乳腺肿块良恶性的诊断准确性分析

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目的:探讨实时组织超声弹性成像(RTE)在乳腺肿块良恶性诊断中的准确性,为临床诊治提供参考.方法:将2022年12月~2023年6月本院诊治的86例乳腺肿块患者纳入观察研究,所有患者均通过西门子ACUSON Sequoia Silver超声诊断仪行常规超声和RTE检查,以病理结果为金标准,分析RTE、常规超声及两者结合鉴别诊断乳腺肿块良恶性的效能.结果:本组患者经病理检查,良性54例,恶性32例.以弹性分级>4级为乳腺肿块恶性诊断标准,RTE诊断灵敏性、特异性和准确性分别是89.36%(42/47)、69.23%(27/32)、80.23%(69/86),常规超声分别是86.00%(43/50)、69.44%(25/32)、79.07%(68/86),两者联合诊断分别是96.22%(51/53)、90.91%(30/32)、94.19%(83/86),特异性、敏感性及准确性显著均高于单一检查(P<0.05).结论:RTE在乳腺肿块良恶性鉴别诊断中有着重要的辅助作用,以弹性分级>4级为恶性鉴别标准最为合适;联合RTE分级和常规超声可提高乳腺肿块良恶性鉴别诊断的特异性和准确性.
The Accuracy of Real-Time Tissue Elastography in the Diagnosis of Benign and Malignant Breast Masses
Objective:To investigate the accuracy of real-time tissue elastography(RTE)in the diagnosis of benign and malignant breast masses,and to provide reference for clinical diagnosis and treatment.Methods:A total of 86 patients with breast from December 2022 to June 2023 were included in the study.All patients underwent routine ultrasonography and RTE by Siemens ACUSON Sequoia Silver ultrasound diagnostic equipment,the efficacy of RTE,conventional ultrasonography and their combination in the differential diagnosis of benign and malignant breast masses was analyzed.Results:After pathological examination,54 cases were benign and 32 cases were malignant.The sensitivity,specificity and accuracy of RTE were 89.36%(42/47),69.23%(27/32)and 80.23%(69/86)respectively,conventional ultrasound was 86.00%(43/50),69.44%(25/32),79.07%(68/86),and combined ultrasound was 96.22%(51/53),90.91%(30/32),94.19%(83/86),respectively,the specificity,sensitivity and accuracy were significantly higher than those of single examination(P<0.05).Conclusion:RTE plays an important role in the differential diagnosis of breast masses,and elastic grade>4 is the most suitable criterion;The combination of RTE grading and conventional ultrasonography can improve the specificity and accuracy of differential diagnosis of breast masses.

real-time tissue elastographybreast massbenign and malignantdifferential diagnosis

林少毅

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厦门医学院附属第二医院超声影像科 (福建 厦门 361000)

实时组织超声弹性成像 乳腺肿块 良恶性 鉴别诊断

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(17)