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超声检查评估在乳腺癌腋窝淋巴结转移中的诊断效果

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目的 研讨在乳腺癌腋窝淋巴结转移中超声检查的诊断效果。方法 选择2019年3月-2021年12月本院收治的102例接受乳腺癌根治手术的乳腺癌患者为研究对象,术前对患者均进行腋窝、乳腺超声检查,术后对比超声检查结果与病理检查结果,判断超声检查评估的准确性及诊断敏感性。结果 超声检查结果显示,与乳腺癌腋窝淋巴结未发生转移的患者相比,出现腋窝淋巴结转移的患者边界模糊程度、淋巴结长短径比以及皮质增厚程度明显偏高,组间差异明显,有统计学意义(P<0。05);腋窝淋巴结数量、血流表现情况相较于乳腺癌腋窝淋巴结未发生转移的患者也偏高,差异明显,有统计学意义(P<0。05);与病理检测相比,超声检查对于乳腺癌腋窝淋巴结转移的诊断阳性预测值79。59%,阴性预测值69。81%,准确率74。51%,超声检查敏感性为70。91%,超声检查特异性为78。23%,具有良好的诊断价值。结论 乳腺癌腋窝淋巴结转移诊断中,超声检查起到良好的诊断效果,具有较高的诊断敏感性和特异性,准确性较高,能够为乳腺癌手术及后续治疗提供有效帮助,值得临床推广应用。
Diagnostic Effect of Ultrasound Examination Evaluation of Axillary Lymph Node Metastasis of Breast Cancer
Objective To study diagnostic effect of ultrasound examination in axillary lymph node metastasis of breast cancer.Methods The paper chose 102 breast cancer patients with radical surgery in our hospital from March 2019 to December 2021.Before surgery,patients were examined by axillary ultrasound and breast ultrasound.After surgery,results of ultrasound and pathology were compared to determine accuracy and diagnostic sensitivity of ultrasound evaluation.Results Ultrasound examination showed,patients with axillary lymph node metastasis had significantly higher borderline ambiguity,length to diameter ratio of lymph nodes,and cortical thickening degree compared with those without axillary lymph node metastasis,difference was statistically significant between the groups,(P<0.05).Numbers of axillary lymph nodes and blood flow performance were higher than control group,difference was statistically significant(P<0.05).Compared with pathological detection,positive predictive value and negative predictive value of ultrasonography for axillary lymph node metastasis of breast cancer was 79.59%,69.81%,accuracy was 74.51%,sensitivity of ultrasonography was 70.91%,and specificity of ultrasonography was 78.23%,which had good diagnostic value.Conclusion ultrasound examination can achieve good effect in diagnosis of axillary lymph node metastasis of breast cancer with high sensitivity,specificity and accuracy,can provide effective help for surgery and follow-up treatment,which is worthy of clinical application.

Ultrasound examinationBreast cancerArmpitLymph node metastasisDiagnosis

王玉青

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济南市妇幼保健院超声科,山东 济南 250001

超声检查 乳腺癌 腋窝 淋巴结转移 诊断

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)