弹性超声联合高频超声对乳腺肿块良恶性诊断价值
| 作者: |
1陈颖彬,
1黄岩,
2石岩,
1王君东,
1沈晶晶,
1卢晓莉
1 南京医科大学附属南京医院，南京市第一医院超声医学科，南京 210006 2 滨州医学院附属医院超声医学科，山东 滨州 256603 |
| 通讯: |
黄岩
Email: jacob6666@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.04.015 |
摘要
目的：研究高频超声、弹性超声及二者联合对乳腺肿块良恶性诊断的应用价值。方法：纳入55例乳腺疾病患者(共63个病灶)，进行常规超声及弹性超声检查，并分别进行BI-RADS分类、改良5分法分级、应变率(strain rate，SR)比值法分级以及联合方法对BI-RADS分类进行调整，5种方法的诊断结果以穿刺活检病理结果为金标准进行对照，分析弹性超声联合高频超声对乳腺肿块良恶性诊断的准确性。结果：SR比值法联合常规超声阳性预测值为91.67%，高于改良5分法联合常规超声(88.00%)，明显高于常规超声(56.41%)，差异有统计学意义(P<0.05)。结论：高频超声联合弹性超声方法能提高乳腺可疑肿块良恶性鉴别能力，并减少良性肿块不必要的穿刺活检。
关键词：
高频超声；弹性超声；乳腺肿块；鉴别诊断；穿刺活检
Value of elastic ultrasound combined with high frequency ultrasound in the diagnosis of benign and malignant breast mass
CorrespondingAuthor: HUANG Yan Email: jacob6666@163.com
DOI: 10.3978/j.issn.2095-6959.2019.04.015
Abstract
Objective: To evaluate the value of ultrasonic elastography, conventional ultrasonography or combined application of both for differential diagnosis of benign and malignant breast lesion. Methods: In this study, 55 cases of breast disease patients (63 lesions) were examined by conventional ultrasound and elasticity ultrasound examination. The lesions were classified by BI-RADS, improved 5-point method and strain rate (SR) ratio method respectively. And then the combined methods adjusted BI-RADS classification again. The diagnostic result of all methods was analytic compared by pathology result. Results: Positive predictive value (PPV) of SR ratio combined method is 91.67%, higher than the improved five-point combined method (88.00%) and significantly higher than conventional ultrasound (56.41%). Difference between the two methods in combination was statistically significant (P<0.05). Conclusion: Conventional ultrasound combined with elastography can improve the ability of identification for suspicious breast benign and malignant reduce unnecessary biopsies of benign lesion.
Keywords：
breast mass; ultrasonography; ultrasonic elastography; differential diagnosis; core needle biopsy