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常规超声联合超声弹性成像在腋窝淋巴结定性诊断中的价值
引用本文:郑晓芳1,付赵虎1,于晶晶2,孙 强3. 常规超声联合超声弹性成像在腋窝淋巴结定性诊断中的价值[J]. 现代肿瘤医学, 2015, 0(9): 1239-1241. DOI: 10.3969/j.issn.1672-4992.2015.09.20
作者姓名:郑晓芳1  付赵虎1  于晶晶2  孙 强3
作者单位:1.邢台市第三医院超声科;2.乳腺外科,河北 邢台 0540003.北京协和医院乳腺外科,北京 100730
基金项目:国家科技支撑计划课题项目(编号:2014BAI08B03)
摘    要:目的:探讨超声评估乳腺癌腋窝淋巴结良恶性的临床价值。方法:对56例患者86个同侧腋窝肿大淋巴结行常规超声(conventional ultrasound,CUS)及超声弹性成像(ultrasound elastography,UE)检查,以超声引导下穿刺活检或术后病例检查结果为标准,将超声结果与病理诊断对照分析。结果:CUS+UE联合应用较单独应用CUS或UE诊断腋窝淋巴结良、恶性的敏感度、特异度、准确度均有较明显的提高,差异有统计学意义(P<0.05)。结论:超声对腋窝良恶性淋巴结的鉴别诊断具有重要价值。特别是联合应用UE,对于常规超声形态改变不明显的淋巴结性质判断有较大帮助。

关 键 词:腋窝淋巴结  乳腺癌  超声弹性成像  彩色多普勒血流成像  鉴别诊断

The value of conventional ultrasound and ultrasound elastography in the diagnosis of ax-illary lymph nodes
Zheng Xiaofang1,Fu Zhaohu1,Yu Jingjing2,Sun Qiang3. The value of conventional ultrasound and ultrasound elastography in the diagnosis of ax-illary lymph nodes[J]. Journal of Modern Oncology, 2015, 0(9): 1239-1241. DOI: 10.3969/j.issn.1672-4992.2015.09.20
Authors:Zheng Xiaofang1  Fu Zhaohu1  Yu Jingjing2  Sun Qiang3
Affiliation:1.Department of Ulrasound;2.Department of Breast Surgery,Xingtai No.3 Hospital,Hebei Xingtai 054000,China;3.Department of Breast Surgery,Peking Union Medical College Hospital,Beijing 100730,China.
Abstract:Objective:To discuss the clinical value on axillary lymph nodes,using ultrasound to diagnose its benign or malignant.Methods:To examine 56 patients with 86 ipsilateral axillary lymph nodes by means of conventional ultrasound and ultrasound elastography.Results:Using CUS or UE to diagnose the sensitivity,specificity and accuracy of the benign or malignant axillary lymph nodes were remarkably improved (P<0.05).Conclusion:Ultrasound has an important value in the differential diagnosis of the benign or malignant axillary lymph nodes.Especially,combined with UE,it is helpful for diagnosing the lymph node.
Keywords:axillary lymph node  breast cancer  ultrasound elastography  doppler color flow Imaging  differential diagnosis
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