陈刘飞 李云霞

[摘要] 目的 比较超声弹性成像（UE）和高频彩色多普勒超声（HFCDU）对乳腺癌的诊断价值。方法 方便选取2018年1月—2019年6月因乳腺占位病变而就诊的40例患者，依次实行HFCDU检查、UE检查。比较两种方法的准确率、误诊率、特异性、敏感性、阳性预测值和阴性预测值。 结果 UE的准确率为92.00%，优于HFCDU的72.00%，其误诊率为8.00%，低于HFCDU的28.00%，差异有统计学意义（χ2=6.775，P=0.009<0.05）。UE的特异性、敏感性分别为90.00%和85.00%，优于HFCDU的70.00%和60.00%，差异有统计学意义（χ2=5.000、6.270，P=0.025、0.012<0.05）。UE的阳性预测值和阴性预测值分别为86.00%和90.00%，优于HFCDU的32.00%和36.00%，差异有统计学意义（χ2=30.136、29.340，P=0.000、0.000<0.05）。结论  UE诊断乳腺占位病变性质比HFCDU价值更高，其不仅具有更加优秀的准确性及敏感性、特异性，其阴性、阳性预测值也相对更高，可以作为乳腺癌的有效评估方法在临床中积极运用。

[关键词] 乳腺癌;超声弹性成像;高频彩色多普勒超声;诊断;应用效果

[Abstract] Objective To compare the diagnostic value of ultrasound elastography （UE） and high-frequency color Doppler ultrasound （HFCDU） for breast cancer. Methods A total of 40 patients who were diagnosed with breast mass lesions from January 2018 to June 2019 were convenient selected， and HFCDU and UE examinations were performed in this order. The accuracy， misdiagnosis rate， specificity， sensitivity， positive predictive value and negative predictive value of the two methods were compared. Results The accuracy rate of UE was 92.00%， which was better than 72.00% of HFCDU. Its misdiagnosis rate was 8.00%， which was lower than 28.00% of HFCDU. The difference was statistically significant（χ2=6.775， P=0.009<0.05）. The specificity and sensitivity of the UE were 90.00% and 85.00%， respectively， which were better than 70.00% and 60.00% of the HFCDU. The differences were statistically significant （χ2=5.000， 6.270， P=0.025， 0.012<0.05）. The positive and negative predictive values of UE were 86.00% and 90.00%， respectively， which were better than 32.00% and 36.00% of HFCDU， and the differences were statistically significant （χ2=30.136，29.340， P=0.000， 0.000<0.05）. Conclusion The diagnosis of breast mass lesions by UE is more valuable than HFCDU. It not only has better accuracy， sensitivity and specificity， but also has relatively higher negative and positive predictive values. It can be used as an effective assessment method for breast cancer in clinical practice. Active use.

[Key words] Breast cancer; Ultrasound elastography; High-frequency color Doppler ultrasound; Diagnosis; Application effect

乳腺癌是近些年來危害女性健康一种常见恶性肿瘤，其不仅发病率高，甚至不断呈现出发病患者年轻化的趋势，对于乳腺癌患者而言，手术是最佳治疗方式，其中保乳手术是最常见的一种手术方式，它较传统手术方式创伤小，且可以保留乳房，但癌组织已经扩散或发生转移的中晚期肿瘤患者却不适合此种治疗，只能通过比如放化疗等方法来延续生命，所以想要改善乳腺癌患者预后，提升其生活质量甚至生存率，给予患者尽早的准确诊断与有效的治疗是非常必要的[1]。目前用于诊断乳腺癌的超声技术有许多，如何选择最适合的超声方法让患者最大受益，需要临床谨慎选择。该文方便选取2018年1月—2019年6月因乳腺占位病变而就诊的40例患者，试分析超声弹性成像（UE）、高频彩色多普勒超声（HFCDU）这两种超声技术对乳腺癌的评价效果，现报道如下。

1  资料与方法

1.1  一般资料

方便选取该院因乳腺占位病变而就诊的40例患者作为该次的研究对象，回顾分析其临床资料，具……