超声弹性成像联合数字化钼靶摄影对乳腺肿瘤的鉴别价值

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摘要目的探讨超声组织弹性成像联合乳腺钼靶摄影在乳腺肿瘤诊断中的应用价值，为后期临床诊治提供参考。方法选取2015年2月～2017年3月我院收治的100例乳腺肿瘤患者的临床资料进行回顾性分析。所有患者乳腺肿块均经病理学检查确诊，肿块行超声组织弹性成像及乳腺钼靶摄影检查并与术后病理结果进行对照，对比分析两种检查方法诊断的准确率及联合诊断的准确率。结果超声弹性成像检查100例患者中，超声弹性成像与钼靶摄影检查方式与病理诊断相符率的比较，差异无统计学意义（P＞0.05）。两种联合检查方式与病理诊断相符率（均与病理结果对照）明显高于超声弹性成像与钼靶摄影，差异均有统计学意义（P＜0.05）。超声组织弹性成像与钼靶摄影检查结果的比较，差异无统计学意义（P＞0.05）。两者联合检查诊断敏感性、特异性与超声弹性成像与钼靶摄影两种检查方式比较，差异无统计学意义（P＞0.05），但有增高趋势。两者联合诊断准确性显著高于超声弹性成像与钼靶摄影，差异均有统计学意义（P＜0.05）。结论超声弹性成像联合数字化钼靶摄影对乳腺肿瘤诊断准确率明显优于任何单一诊断方式。可在临床诊断中推广应用。

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	梁金花
	冯建平
	梁建雄
	周红辉
	易建芬
	周祖勇

关键词 ：组织弹性成像, 钼靶摄影, 乳腺肿瘤

Abstract：Objective To expore the application value of ultrasound elasticity imaging combined with digital mammography in the diagnosis of breast tumor,and to provide reference for clinical treatment.Methods The clinical data of 100 patients with breast tumor admitted to our hospital from February 2015 to March 2017 were analyzed retrospectively.All patients with breast masses were confirmed by pathological examination.Ultrasound elastography and mammography were performed on the masses and compared with postoperative pathological results.The diagnostic accuracy of the two methods and the combined diagnostic accuracy were compared and analyzed.Results There was no significant difference between ultrasonic elastography and molybdenum target photography in the coincidence rate between ultrasonic elastography and molybdenum target photography(P＞0.05).The coincidence rate between ultrasonic elastography and molybdenum target photography was significantly higher than that between ultrasonic elastography and molybdenum target photography,and the differences were statistically significant(P＜0.05).There was no significant difference in the results between ultrasound elastography and mammography(P＞0.05).Comparison of diagnostic sensitivity,specificity and ultrasonic elastography with molybdenum target photography,The difference was not statistically significant(P＞0.05),But there is an increasing trend.The accuracy of combined diagnosis was significantly higher than that of ultrasound elastography and mammography,and the differences were statistically significant(P＜0.05).Conclusion The diagnosis of ultrasound elasticity imaging combined with mammography is better than that of single diagnosis.It can be used widely in clinical application.

Key words： Ultrasound Elasticity Imaging Mammography Breast Tumor

作者简介: 梁金花（1979-），女，本科，B 超中心主治医师，研究方向：组织小器官及外周动脉超声诊断

引用本文:

梁金花;冯建平;梁建雄; 周红辉; 易建芬;周祖勇. 超声弹性成像联合数字化钼靶摄影对乳腺肿瘤的鉴别价值[J]. 中国当代医药, 2018, 25(12): 76-78.
LlANG Jin-hua;FENG Jian-ping;LIANG Jian-xiong;ZHOU Hong-hui;YI Jian-fen;ZHOU Zu-yong. The value of ultrasound elasticity imaging combined with digital mammography in the differential diagnosis of breast tumor. 中国当代医药, 2018, 25(12): 76-78.

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