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早期乳腺癌前哨淋巴结的超声造影定量分析

Quantitative Analysis of Sentinel Lymph Nodes in Early Breast Cancer by Contrast-Enhanced Ultrasound
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摘要 目的:对超声造影(CEUS)诊断早期乳腺癌前哨淋巴结(SLN)的价值进行定量分析。方法:回顾性分析2018年5月~2019年11月本院诊治的93例手术病理证实早期乳腺癌患者的影像学资料,患者术前均接受CEUS检查,以病理结果为标准,进行定量分析。结果:本组93例患者中,SLN转移38例(40.86%),SLN无转移55例(59.14%)。通过分析,转移组SLN增强模式主要是不均匀增强,无转移组主要是均匀增强,差异有统计学意义(P<0.05);转移组的灌注峰值强度、灌注强度差、达峰平均强度均显著强于无转移组(P<0.05)但到达时间、达峰时间及上升斜率均无显著性差异(P>0.05)。结论:早期乳腺癌术前CEUS检查定量分析具有重要临床价值。 Objective:To evaluate the value of contrast-enhanced ultrasound(CEUS)in the diagnosis of sentinel lymph node(SLN)in early breast cancer.Methods:The imaging data of 93 patients with early breast cancer confirmed by operation and pathology in our hospital from May 2018 to November 2019 were retrospectively studied.CEUS examination was performed before operation,and the pathological results were taken as the standard for quantitative analysis.Results:Among the 93 patients,38(40.86%)had SLN metastasis and 55(59.14%)had no SLN metastasis.Through the analysis,the SLN enhancement mode in the metastasis group was mainly uneven enhancement,and the non metastasis group was mainly uniform enhancement,the difference was statistically significant(P<0.05);the peak perfusion intensity,perfusion intensity difference and peak average intensity of the metastasis group were significantly stronger than those of the non metastasis group(P<0.05),but the arrival time,peak time and rising slope had no significant difference(P>0.05).Conclusion:The quantitative analysis of CEUS before operation of early breast cancer has important clinical value.
作者 洪春天 颜永濠 HONG Chun-tian;YAN Yong-hao(Abdominal Color Doppler Room,Quanzhou First Hospital Affiliated to Fujian Medical University,Fujian Quanzhou 362000)
出处 《中国医疗器械信息》 2020年第21期61-62,共2页 China Medical Device Information
基金 泉州市科技计划项目(项目名称:超声造影在早期乳腺癌前哨淋巴结活检中的应用价值,项目编号:2018Z062)。
关键词 早期乳腺癌 前哨淋巴结 超声造影 定量分析 early breast cancer sentinel lymph node contrast-enhanced ultrasound quantitative analysis
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