摘要
目的:研究乳腺结节的良恶性鉴别诊断中超声诊断的价值。方法:选取2019年3月—2021年9月泗洪县妇幼保健院接收的乳腺结节患者180例作为研究对象,对所有患者行超声诊断,以病理切片检查作为诊断金标准,比较分析超声诊断准确性、灵敏度、特异度、微钙化、边缘轮廓、形态情况以及血流状况。结果:超声诊断准确性为97.22%、灵敏度为91.30%、特异度为98.09%。在超声检查中,良、恶性结节在边缘清晰度、形态等方面存在巨大差异,良性结节边缘轮廓更为清晰,并且其形态更为规则,差异有统计学意义(P<0.05)。恶性结节血流检出率为87.50%,显著高于良性结节的66.67%,差异有统计学意义(P<0.05)。结论:在乳腺良恶性鉴别诊断中,超声诊断准确性、灵敏度、特异度均较高,临床应用价值及推广可行性较高。
Objective To study the value of ultrasonography in the differential diagnosis of benign and malignant breast nodules.Methods A total of 180 patients with mammary gland nodules received by Sihong County Maternal and Child Health Hospital from March 2019 to September 2021 were selected as the research subjects.Ultrasound diagnosis was performed on all patients.Pathological biopsy was used as the diagnostic gold standard to compare and analyze the accuracy of ultrasound diagnosis,sensitivity,specificity,microcalcification,edge profile,shape and flow conditions.Results The accuracy,sensitivity and specificity of ultrasonic diagnosis were 97.22%,91.30% and 98.09% respectively.In ultrasound examination,there were great differences between berign and malignant nodules in terms of edge definition and morphology,and benign nodules had clearer edge contour and more regular morphology,the difference was statistically significant(P <0.05).The blood flow detection rate of malignant nodules was 87.50%,which was significantly higher than 66.67% in benign nodules(P <0.05).Conclusion In the differential diagnosis of benign and malignant mammary gland,ultrasonic diagnosis has higher accuracy,sensitivity and specificity,and its clinical application value is higher and its popularization feasibility is higher.
作者
许静
XU Jing(Color Ultrasound Room,Sihong County Maternal and Child Health Hospital,Suqian,Jiangsu 223900,China)
出处
《影像研究与医学应用》
2022年第8期13-15,共3页
Journal of Imaging Research and Medical Applications
关键词
超声
乳腺结节
良恶性
鉴别诊断
Ultrasound
Mammary gland nodules
Benign and malignancy
The differential diagnosis
