摘要
目的探讨高频彩色多普勒超声联合弹性成像诊断乳腺髓样癌的应用价值。方法选取2015年3月至2019年7月本院收治的乳腺髓样癌患者48例。所有患者均接受高频超声联合弹性成像检查,以病理学结果为金标准,判断高频超声联合弹性成像的诊断符合率以及成像图特征。结果高频超声检查与病理学结果诊断符合率为72.92%,弹性成像检查与病理学结果诊断符合率为58.33%,联合诊断与病理学结果诊断符合率为83.33%。联合诊断符合率高于高频超声、弹性成像,差异有统计学意义(P<0.05);声像图显示病灶形态多呈规则或分叶状,边界清晰,内部回声均匀,后方回声增强,血流信号主要为Ⅱ~Ⅲ级。动脉血流阻力指数(RI)值较高,平均值为(0.731±0.003),常不伴有微钙化,弹性成像评分≤3分者占47.92%,≥4分者占52.08%,比较差异无统计学意义。结论高频彩色多普勒超声联合弹性成像在诊断乳腺髓样癌中,可有效提高诊断符合率,对临床诊治具有重要参考价值,对于无法确诊的微小病灶,必要时可行穿刺活检。
Objective To evaluate the value of high frequency color Doppler ultrasound combined with elastic imaging in the diagnosis of breast myeloid carcinoma.Methods From March 2015 to July 2019,48 patients with breast myeloid carcinoma in our hospital were selected.All patients were examined by high frequency ultrasound combined with elastic imaging,and the pathological results were regarded as the gold standard to judge the diagnostic coincidence rate and imaging characteristics of high frequency ultrasound combined with elastic imaging.Results The coincidence rate between high frequency ultrasound and pathological results was 72.92%,the coincidence rate between elastic imaging and pathological results was 58.33%,and the coincidence rate between combined diagnosis and pathological results was 83.33%,The coincidence rate of combined diagnosis was higher than that of high frequency ultrasound and elastic imaging alone,and the difference was statistically significant(P<0.05).The sonogram showed that the shape of the lesion was regular or lobulated,the boundary was clear,the internal echo was uniform,the posterior echo was enhanced,and the blood flow signal was mainly grade Ⅱ-Ⅲ.The value of arterial blood flow resistance index(RI)was higher,the average value was(0.731±0.003),often without microcalcification,elastic imaging score≤3 scores accounted for 47.92%,≥4 scores accounted for 52.08%,and there was no significant difference between the two groups.Conclusion High frequency color Doppler ultrasound combined with elastic imaging can effectively improve the diagnostic coincidence rate of breast myeloid carcinoma,and has important reference value for clinical diagnosis and treatment.For small lesions that can not be diagnosed,puncture biopsy is feasible if necessary.
作者
滕晓艳
Teng Xiaoyan(Department of Ultrasonic,Zaozhuang Mining Group Zaozhuang Hospital,Zaozhuang,Shandong,277100,China)
出处
《当代医学》
2020年第29期119-121,共3页
Contemporary Medicine
关键词
乳腺髓样癌
高频彩色多普勒超声
弹性成像
诊断价值
Breast marrow-like carcinoma
High-frequency color Doppler ultrasound
Elastic imaging
Diagnostic value
