摘要
目的探讨乳腺自动全容积扫查系统(Automatic Breast Volume Scanning,ABVS)与彩色多普勒血流显像(Color Doppler Flow Imaging,CDFI)联合应用在评价乳腺癌临床疗效中的价值。方法选取2014年1月~2016年1月期间我院乳腺外科乳腺癌临床患者102例,根据临床疗效将患者分为治疗有效组与治疗无效组,全部患者均施行ABVS与CDFI检查,比较两组患者ABVS与CDFI参数的差异。结果经配对资料χ2检验,ABVS、CDFI对乳腺癌临床疗效评价与病理学评价结果差异无显著性(P>0.05),ABVS、CDFI真的符合率与病理学评价相一致。治疗前,两组患者病灶组织长、宽、高、体积、病灶组织周边声带、周边边界清晰所占比例比较差异无统计学意义(P>0.05);治疗后,治疗有效组病灶组织长、宽、高、体积、病灶组织周边声带所占比例均明显低于治疗前与治疗无效组,周边边界清晰所占比例明显高于治疗前与治疗无效组,比较差异具有统计学意义(P<0.05)。治疗前,两组病灶血流类型、血流最高流速与阻力指数比较差异无统计学意义(P>0.05);治疗后,治疗有效组病灶血流0~I型所占比例明显高于治疗前与治疗无效组,其余指标明显低于治疗前与治疗无效组,比较差异具有统计学意义(P<0.05)。结论 ABVS通过采集病灶大小与声像图特点,CDFI通过观察病灶血流类型、血流最高流速机器阻力指数,两者联合应用在评价乳腺癌临床疗效中具有重要的应用价值。
Objective To study the value of the clinical efficacy of combined application of automatic breast volume scanning(ABVS)and color Doppler flow imaging(CDFI)in evaluating breast cancer.Methods102cases of breast cancer patients that treated in department of breast surgery of our hospital during the period of January2014and January2016were selected.These patients were divided into effectivity group(n=67)and invalidity group(n=35)according to the clinical curative effect,all patients were given ABVS and CDFI examinations,the parameters of ABVS and CDFI were compared between the two groups.Results Afterχ2test had been performed between the matching data,there was no significant difference(P>0.05)in the results of evaluation of breast cancer clinical and pathological through ABVS and CDFI.The really coincidence rate and the pathology were consistent evaluated by ABVS and CDFI.Before the treatment,there was no statistical significance difference(P>0.05)in focal length,width and height,volume and the proportion of the surrounding clear boundary between two groups.After treatment,compared with the none treatment group and ineffective treatment group,the focal length,width and height,volume,proportion of lesion tissue surrounding the vocal cords were significantly lower in the effective treatment group,the surrounding clear boundary significantly higher than the proportion of before and ineffective treatment group,which was significant difference(P<0.05).Before treatment,there was no statistical significance difference(P>0.05)in lesions,the highest velocity of blood flow and blood type resistance index comparison difference between the two groups.After treatment,the ratio of the lesion blood flow of0～I in treatment group effective was significantly higher than that of none treatment group and ineffective treatment group.The rest of the index was lower than that none treatment group and ineffective treatment.The statistic difference was significant(P<0.05).Conclusion ABVS can collect lesion size and the ultrasonographic characteristics,CDFI can see their blood types and the highest blood flow velocity of blood flow resistance index of machine.Therefore,there are important application value of combined application of ABVS and CDFI in evaluating the clinical effect of breast cancer.
作者
骆瑞珍
张超
王庆海
陈秀霞
孙建娜
LUO Rui-zhen;ZHANG Chao;WANG Qing-hai;CHEN Xiu-xia;SUN Jian-na(Department of Breast Surgery, Hebei Province Cangzhou Hospital of Integrated Traditional and Western Medicine,Cangzhou Hebei 061001, China)
出处
《中国医疗设备》
2017年第5期60-63,72,共5页
China Medical Devices
基金
沧州市科技支撑计划项目(131302203)
关键词
自动全容积扫查系统
彩色多普勒血流显像
乳腺癌
化疗
automatic full volume scanning systems
color Doppler flow imaging
breast cancer
chemotherapy
