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目的研究超声弹性成像(UE)在诊断乳腺良恶性肿瘤中的临床有效性。方法将云南省德宏州人民医院超声科2014年1月至2015年10月间收治的124例乳腺癌良恶性肿瘤患者作为观察对象,按随机数字表法分为OBG组(63例)和COG组(61例),分别采用UE和常规超声诊断,统计两组患者的诊断结果与病理检验进行对比分析。结果经UE诊断,将OBG组和COG组患者的诊断结果与病理检验(PE)结果进行比对。OBG组与PE组比较,无统计学意义(P>0.05),COG组恶性肿瘤为13.11%(8/61),高于PE组9.84%(6/61),差异具有统计学意义(P<0.05)。结论 UE在乳腺癌良恶性肿瘤患者的诊断中具有较好的敏感性、特异性和准确性,值得临床推广借鉴。
Objective To study the clinical efficacy of ultrasound elastography (UE) in the diagnosis of benign and malignant breast tumors. Methods Totally 124 patients with benign and malignant breast cancer who underwent ultrasound in Dehong People’s Hospital of Yunnan Province from January 2014 to October 2015 were divided into OBG group (63 cases) and COG (61 cases). The diagnostic results of the two groups of patients and the pathological examination were compared by using UE and routine ultrasonic diagnosis respectively. Results Diagnostic results of the UEs were compared between the diagnostic results of the patients in the OBG and COG groups and the results of the pathological examination (PE). There was no significant difference between OBG group and PE group (P> 0.05). The incidence of malignant tumors in COG group was 13.11% (8/61), which was higher than that in PE group (9.84%, 6/61) (P < 0.05). Conclusions UE has good sensitivity, specificity and accuracy in the diagnosis of patients with benign and malignant breast cancer, which is worthy of clinical reference.