摘要
目的探讨超声弹性成像应变率比值法(ultrasonic elastography strain ratio,UESR)联合三维超声(three-dimensional ultrasound,3D-US)对乳腺良恶性肿块诊断的临床价值。方法对107例127个乳腺肿块在二维超声检查的基础上,进行超声弹性成像(ultrasonic elastography,UE)及3D-US检查,并与病理结果对照比较。结果 3D-US诊断的敏感性、特异性、准确度分别为80.6%、80.2%、80.3%,UESR诊断的敏感性、特异性、准确度分别为83.3%、85.7%、85.0%,UESR联合3D-US诊断的敏感性、特异性、准确度分别为91.7%、93.4%、92.9%。USER联合3D-US诊断的敏感性、特异性及准确度均较单独使用USER或3D-US诊断有所提升(均P<0.05)。结论 UESR联合3D-US在乳腺肿块的良、恶性诊断及鉴别诊断方面具有重要的临床应用价值。
Objective To investigate the value of ultrasonic elastography strain rate ratio (UESR) method combined with three-dimensional ultrasound(3D-US)imaging in the diagnosis of benign and malignant breast solid lesions. Methods On the basis of the two-dimensional ultrasound, ultrasonic elastography and 3D-US were performed in 107 patients with breast solid lesions(127 lesions).The res-ults were compared with pathological findings. Results The diagnostic sensitivity, specificity and accuracy of the combination of UESR and 3D-US (91.7%,93.4% and 92.9%,respectively)were significantly higher than those of 3D-US(80.6%,80.2% and 80.3%,respectively)or UESR alone(83.3%, 85.7% and 85.0%, respectively)(all P〈0.05). Conclusion UESR combined with 3D-US has important value for the diagnosis and differential diagnosis of benign and malignant breast solid lesions.
出处
《实用临床医学(江西)》
CAS
2014年第5期105-107,F0004,共4页
Practical Clinical Medicine
关键词
三维超声
应变率比值
乳腺肿块
诊断
three-dimensional ultrasound
strain rate ratio
breast solid lesions
diagnosis