摘要
目的探索高频三维超声成像对乳腺良恶性肿块的鉴别诊断价值。方法选取2015年9月至2017年8月本院超声科的77例乳腺肿块病例,均行常规二维及三维超声检查,并手术或细针穿刺活检,病理检查证实良恶性。以病理结果为诊断的金标准,以三维超声冠状面出现汇聚征作为诊断乳腺肿块为恶性的标准,分析三维超声诊断乳腺肿块良恶性的敏感度、特异度。结果 77例病例中恶性为46例,良性为31例。三维超声汇聚征对判断乳腺肿块良恶性差异有统计学意义(χ~2=26.790,P<0.01),诊断的敏感度、特异度分别为69.7%、90.3%。结论高频三维超声对鉴别诊断乳腺良恶性肿瘤有一定价值,对治疗方案的制定有重要意义。
Objective To explore the diagnostic value of high frequency three-dimensional （3D） ultrasound in breast masses. Methods Seventy-seven cases of breast lesions were selected by 2D ultrasonic scan, and all the cases had been examined by 3D ultrasound and accepted surgical treatment in Shenzhen People＇s Hospital. With pathological results as the gold standard for diagnosis, the convergence sign in diag- nosis of breast masses was used as malignant standard for 3D ultrasound coronal plane. The sensitivity and specificity were analyzed of 3D ultrasound in the diagnosis of benign and malignant breast tumors. Results A total of 77 cases of breast lesions included 46 malignant and 31 benign. 3D ultrasound convergence sign was used to judge the benign and malignant breast tumors with statistical significance （X^2 = 26. 790, P 〈 0. 01 ）. The diagnostic sensitivity and specificity were 69. 7%, and 90. 3%, respectively. Conclusions High frequency 3D ultrasonography has certain value in differential diagnosis of benign and malignant breast tumors, and has important significance for the formulation of treatment plan.
出处
《中国医师杂志》
CAS
2018年第1期76-78,共3页
Journal of Chinese Physician
基金
深圳市科技创新委员会基金(JCYJ20140416122811974
JCYJ20150403101146280)~~
关键词
结核
成像
三维
乳腺肿瘤/超声检查
TubercImaging, three-dimensional
Breast neoplasms/US
