摘要
目的探究彩色多普勒与高频超声在乳腺良恶性结节诊断中的临床价值。方法选取洛阳伊洛医院2022年1月至2023年2月收入68例乳腺结节患者为研究对象,以病理检查结果为金标准,所有患者均开展彩色多普勒与高频超声检查,分析彩色多普勒与高频超声单独及联合诊断的诊断效能。结果68例乳腺结节患者均经病理诊断,显示52例(76.47%)为乳腺良性结节,16例(23.53%)为乳腺恶性结节。联合检测特异性、敏感性、准确性分别为96.15%、93.75%、95.59%,高于高频超声80.77%、75.00%、79.41%、以及彩色多普勒超声88.46%、81.25%、86.76%,差异有统计学意义(P<0.05);乳腺恶性结节高频超声图像形态不规则、边界毛刺状改变、血流信号丰富、病灶内钙化点、不均匀回声、包膜残缺分别为81.25%、100.00%、87.50%、81.25%、81.25%、68.75%,高于良性结节患者50.00%、75.00%、57.69%、51.92%、51.92%、40.38%,差异有统计学意义(P<0.05);良性乳腺结节血流分级在0级、Ⅰ级占比为50.00%、40.38%,高于恶性结节0.00%、6.25%,差异有统计学意义(P<0.05);恶性结节患者在Ⅱ级、Ⅲ级占比为31.25%、62.50%,高于良性结节患者5.77%、3.85%,差异有统计学意义(P<0.05);恶性结节血流阻力指数、Vmax、Vmin高于良性结节患者,差异有统计学意义(P<0.05)。结论彩色多普勒超声与高频超声联合鉴别诊断乳腺结节良恶性效果显著,值得应用与推广。
Objective To explore the clinical value of color Doppler and high-frequency ultrasound in the diagnosis of benign and malignant breast nodules.Methods 68 patients with breast nodules admitted to Luoyang Yiluo Hospital from January 2022 to February 2023 were selected as the research subjects.Pathological examination results were used as the gold standard.All patients underwent color Doppler and high-frequency ultrasound examinations.The diagnostic efficacy of color Doppler and high-frequency ultrasound alone and in combination was analyzed.Results All 68 patients with breast nodules were diagnosed pathologically,showing 52 cases(76.47%)of benign breast nodules and 16 cases(23.53%)of malignant breast nodules.The specificity,sensitivity,and accuracy of the combined detection were 96.15%,93.75%,and 95.59%,respectively,which were higher than those of high-frequency ultrasound(80.77%,75.00%,79.41%)and color Doppler ultrasound(88.46%,81.25%,86.76%).The differences were statistically significant(P<0.05).The irregular morphology,spiky boundary changes,abundant blood flow signals,calcification points in the lesion,uneven echoes,and incomplete capsule of malignant breast nodules were 81.25%,100.00%,87.50%,81.25%,81.25%,and 68.75%,respectively,which were higher than those of benign nodules(50.00%,75.00%,57.69%,51.92%,51.92%,40.38%).The differences were statistically significant(P<0.05).The blood flow grading of benign breast nodules at level 0 and level Ⅰ accounted for 50.00%and 40.38%,respectively,which were higher than those of malignant nodules(0.00%,6.25%).The differences were statistically significant(P<0.05).The proportion of patients with malignant nodules at level Ⅱ and level Ⅲ was 31.25% and 62.50%,respectively,which was higher than that of patients with benign nodules(5.77%,3.85%).The differences were statistically significant(P<0.05).The blood flow resistance index,Vmax,and Vmin of malignant nodules were higher than those of benign nodules.The differences were statistically significant(P<0.05).Conclusion The combined diagnostic identification of benign and malignant breast nodules by color Doppler ultrasound and high-frequency ultrasound is significant and worth applying and promoting.
作者
武晓燕
吴祥
段伊航
WU Xiaoyan;WU Xiang;DUAN Yihang(Department of Ultrasound,Luoyang Yiluo Hospital,Luoyang,Henan 471000,China)
出处
《临床研究》
2024年第2期141-143,148,共4页
Clinical Research
关键词
彩色多普勒
高频超声
乳腺良恶性结节
诊断
Color Doppler
High-frequency ultrasound
Benign and malignant breast nodules
Diagnosis
