超声弹性成像与常规超声联合应用在诊断乳腺肿块中的价值

目的:研究常规超声与实时超声弹性成像在鉴别诊断乳腺肿块良、恶性中的价值,并探讨影响诊断的因素。方法:收集我院经手术病理证实良、恶性的154例、158个乳腺肿块,术前均行常规超声及实时超声弹性成像检查,检查结果与术后病理进行对照比较。结果:术后病理证实158个乳腺肿块中,良性115个,恶性43个。常规超声、弹性成像、常规超声与弹性成像联合应用诊断结节良、恶性与术后病理诊断结果的一致性,kappa值分别为0.6059、0.7283、0.8137。结论:常规超声检查是乳腺超声检查的基础,超声弹性成像技术有利于鉴别乳腺肿块的良、恶性,二者联合应用能够很好地提高诊断准确率。

Value of ultrasonic elastography combined with conventional ultrasound in differentiating benign and malignant breast tumors

Objective To explore the utility of ultrasonic elastography and conventional ultrasound in the differentiating benign from malignant breast tumors,and to analyze the elements of influence.Method We collected 154 patients with 158 breast tumors,all of whom were examined by ultrasonic elastography and conventional ultrasound.The result was compared with operative pathology.Results Among 158 breast tumors,there were 115 benign and 43 malignant tumors.In the diagnosis of breast tumors,the consistency of conventional ultrasound,ultrasonic elastography and the ultrasonic elastography combined with conventional ultrasound with postoperative pathology were Kappa = 0.605 9,0.728 3,0.813 7 respectively.Conclusion Routine ultrasound examination is the basis for breast ultrsound,ultrasonic elastography can disserentiate beteen benign and malignant breast lisions.Combing conventional ultrasound with ultrasonic elastography can improve the accuracy of differentiating benign from malignant breast tumors.