超声弹性成像在乳腺良恶性结节鉴别诊断中的价值

梁江维

（陕西省水电医院，陕西 咸阳，712000）

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摘要：

目的 综合分析超声弹性成像（UE）在乳腺良恶性结节鉴别诊断中的价值。方法 选取我院2015年9月至2016年7月收治的106例（130个乳腺微小实性结节）乳腺良恶性肿瘤患者，采用改良多普勒超声弹性成像技术5分法诊断乳腺结节的 良性和恶性，并与病理诊断结果作对比；对照术后病理结果，分析乳腺良性结节和恶性结节的UE特点。结果 病理诊断显示，130个结节中有50个恶性结节、80个良性结节。UE≥4分时，恶性结节比率显著高于良性结节，差异有统计学意义（P<0.05）。 结论 UE在乳腺良恶性结节鉴别诊断中的价值较高，能够有效地鉴别乳腺结节的良性与恶性。

关键词：超声弹性成像；乳腺良恶性结节；鉴别诊断

中图分类号：R445.1文献标志码：A文章编号：2096-1413(2017)22-0135-02

Value of ultrasound elastography in the differential diagnosis of benign and malignant breast nodules
LIANG Jiang-wei
(Hydropower Hospital of Shaanxi Province, Xianyang 712000, China)

ABSTRACT: Objective To comprehensively analyze the value of ultrasound elastography (UE) in the differential diagnosis of benign and malignant breast nodules. Methods A total of 106 cases of patients (130 small, solid nodules of the breast) with benign and malignant breast cancer treated in our hospital from September 2015 to July 2016 were selected, and used the modified Doppler ultrasound elastography 5 points method to diagnose the benign and malignant breast nodules and compared with the results of pathological diagnosis. The UE characteristics of breast benign nodules and malignant nodules were analyzed in contrast with the postoperative pathological results. Results The results of pathological diagnosis showed that there were 50 malignant nodules and 80 benign nodules in 130 nodules. When UE ≥ 4 points, the malignant nodule ratio was significantly higher than that of benign nodules, the difference was statistically significant (P<0.05). Conclusion The value of UE in the differential diagnosis of benign and malignant breast nodules is high, and it can accurately identify the benign and malignant breast nodules.
KEYWORDS: ultrasound elastography; benign and malignant breast nodules; differential diagnosis

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