超声造影在乳腺良恶性肿块鉴别诊断中的价值
| 作者: |
1潘梅芳,
1王晓娜
1 苏州市相城人民医院超声科，江苏 苏州 215100 |
| 通讯: |
潘梅芳
Email: 18963650090@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.07.018 |
| 基金: | 相城区科技发展计划项目 (XJ201660)。 |
摘要
目的：总结乳腺肿块的不同超声造影图像特征，评价超声造影对鉴别诊断乳腺肿块良恶性的价值。方法：对2016年12月至2018年4月苏州市相城人民医院经超声造影诊断的86例乳腺肿块，分析超声造影特征与肿块良恶性的相关性。结果：超声造影后乳腺良恶性肿块在形态、边界、增强强度、内部区域型充盈缺损及周围滋养血管方面的差异均有统计学意义(均P<0.05)，其中增强范围增大(91.1%)、周围有滋养血管(93.3%)及区域型充盈缺损(80.0%)诊断恶性肿块的特异性最高，增强范围增大、周围有滋养血管诊断恶性肿块的准确性最高，均为88.8%。结论：超声造影有助于乳腺肿块的良恶性鉴别诊断。
关键词：
超声造影；乳腺肿块；鉴别诊断
Value of contrast-enhanced ultrasound in the differential diagnosis of benign and malignant breast masses
CorrespondingAuthor: PAN Meifang Email: 18963650090@126.com
DOI: 10.3978/j.issn.2095-6959.2019.07.018
Foundation: This work was supported by the Science and Technology Development Project of Xiangcheng District, China (XJ201660).
Abstract
Objective: To summarize the features of ultrasound contrast images in the different breast masses and evaluate the value of ultrasound contrast in diagnosis of the breast masses. Methods: A total of 86 patients with breast masses were included in the study. The correlation between the features of ultrasound contrast images and the properties of breast masses were studied. Results: After contrast-enhanced ultrasound for benign and malignant breast shape, boundary, enhance strength, internal regional filling defect and the surrounding nourishing blood vessels were statistically significant (P<0.05). The specificity of diagnosis of malignant masses was highest with increase scope (91.1%), peripheral nourishing vessels (93.3%) and regional filling defect (80.0%). The accuracy of diagnosis of malignant masses with increased enhancement range and peripheral nourishing vessels was the highest, which was 88.8%. Conclusion: Contrast-enhanced ultrasound is helpful for the differential diagnosis of benign and malignant breast masses.
Keywords：
contrast-enhanced ultrasound; breast masses; differential diagnosis