论文部分内容阅读
目的:探究超声弹性成像(UE)和常规超声(US)检查对乳腺癌也淋巴结转移诊断的临床价值。方法:选取68例经病理证实的乳腺癌患者的72枚腋淋巴结进行研究,所有患者均行UE和US检查,结果均经病理验证,比较UE和US以及两者联合检查对乳腺癌患者腋淋巴结转移的诊断情况。结果:经US结果显示转移性淋巴结L/S<2;皮质增厚≥3mm,为低回声;多为周边型或混合型血流的血液类型;血流程度为Adler2~3级,与非转移性淋巴结患者的结果比较具有明显差异(P<0.05)。UE结果显示转移性淋巴结的弹性评分3~4分为多,非转移性评分为1~2分为多,两者之间有明显差异,p<0.05。两者联合对乳腺癌腋淋巴结转移的诊断的敏感性、特异性以及准确性都高于任何一种检查。结论:UE联合US检查对乳腺癌腋淋巴结转移的诊断具有重要意义,能够提高临床疾病的诊断率,更好的评估患者疾病的病情,为患者的临床治疗提供依据。
Objective: To investigate the clinical value of ultrasound elastography (US) and conventional ultrasonography (US) in the diagnosis of lymph node metastasis of breast cancer. METHODS: Seventy-two axillary lymph nodes from 68 pathologically confirmed breast cancer patients were studied. All patients underwent UE and US examinations. The results were confirmed by pathology. The combined results of UE and US and their combined detection of axillary lymph nodes in patients with breast cancer The diagnosis of metastasis. Results: The results of US showed that lymph node metastasis L / S <2; cortical thickening ≥ 3mm, hypoechoic; mostly peripheral or mixed type of blood flow; Adler grade 2 to 3 degrees of blood flow, and non-metastatic The results of patients with lymph nodes showed significant differences (P <0.05). The results of UE showed that the elasticity score of metastatic lymph nodes was 3 to 4, the non-metastatic score was 1 to 2, and the difference was significant (p <0.05). The combined detection of axillary lymph node metastasis of breast cancer sensitivity, specificity and accuracy are higher than any of the tests. Conclusion: The combination of UE and US examination is of great significance in the diagnosis of axillary lymph node metastasis in breast cancer. It can improve the diagnosis rate of clinical disease, better evaluate the disease condition of patients and provide the basis for the clinical treatment of patients.