摘要
目的:探讨彩色多普勒超声(彩超)鉴别诊断良恶性腋窝肿大淋巴结的效果。方法:收集2017年1月至2018年5月收治的40例乳腺癌腋窝淋巴结肿大患者的彩超资料,分析彩超诊断恶性腋窝淋巴结的敏感度、特异度和准确率,比较良恶性腋窝淋巴结的超声特征。结果:彩超和病理检查均为阳性21例,超声漏诊1例和误诊1例。彩超诊断恶性腋窝淋巴结敏感度为95.45%,特异度为94.44%,准确率为95.00%,阳性预测值为95.45%、阴性预测值为94.44%。良恶性腋窝淋巴结在L/S、形状、皮质增厚、内部回声、钙化、血流丰富度、血流信号分布等方面均存在显著差异(P<0.05)。结论:彩超诊断和鉴别良恶性腋窝肿大淋巴结效果理想,值得临床推荐。
Objective: To explore the effect of color Doppler ultrasonography(CDUS) in differential diagnosis of benign and malignant axillary enlarged lymph nodes. Methods: The color Doppler ultrasound data of 40 patients with axillary lymph node enlargement of breast cancer admitted from January 2017 to May 2018 were collected, the sensitivity, specificity and accuracy of color Doppler ultrasonography in the diagnosis of malignant axillary lymph nodes were analyzed, and the characteristics of color Doppler ultrasonography in benign and malignant axillary lymph nodes were compared. Results: Color Doppler ultrasonography and pathological examination were positive in 21 cases, one case was missed and one case was misdiagnosed by ultrasound. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of color Doppler ultrasonography in the diagnosis of malignant axillary lymph nodes were 95.45%, 94.44%, 95.00%, 95.45% and 94.44%, respectively. There were significant differences between benign and malignant axillary lymph nodes in L/S, shape, cortical thickening, internal echo, calcification, blood flow richness and blood flow signal distribution(P<0.05). Conclusion: Color Doppler ultrasonography has an ideal effect in the diagnosis and differentiation of benign and malignant axillary enlarged lymph nodes, which is worthy of clinical recommendation.
作者
洪冰
HONG Bing(Functional Department of Traditional Chinese Medicine Hospital of Xinyu,Jiangxi 338000,China)
出处
《上海医药》
CAS
2019年第14期19-21,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
乳腺癌
腋窝肿大
淋巴结
鉴别诊断
彩色多普勒超声
breast cancer
axillary enlargement
lymph node
differential diagnosis
color Doppler ultrasonography
