王东

摘要：目的  研究超声弹性成像在乳腺肿瘤良恶性诊断中的临床价值。方法  选取2018年11月～2019年11月在我院诊治的86例（105个肿块）乳腺肿瘤患者为研究对象，均行超声弹性成像检查，观察比较超声弹性成像结果与手术病理结果、乳腺良和恶性肿瘤超声弹性成像评分。结果  超声弹性成像诊断乳腺恶性肿块灵敏度82.14%、特异性76.62%、准确性95.34%;超声弹性成像评分中良性肿块评分1分、2分比例均高于恶性肿块，3分、4分、5分比例均低于恶性肿块，且良性肿块（3分及以下）比例高于恶性肿块，4～5分占比例低于恶性肿块，差异有统计学意义（P<0.05）。结论  超声弹性成像对乳腺肿瘤的诊断率较高，且良性肿瘤弹性成像评分多为3分及以下，恶性肿瘤多为4～5分，对临床鉴别诊断具有较高的价值。

关键词：超声弹性成像;乳腺肿瘤;良恶性

Abstract：Objective  To study the clinical value of ultrasound elastography in the diagnosis of benign and malignant breast tumors.Methods  86 patients with breast tumors （105 masses） diagnosed and treated in our hospital from November 2018 to November 2019 were selected as the research objects. All of them underwent ultrasound elastography examination. Observation and comparison of ultrasound elastography results with surgical pathological results， benign breasts ultrasound elastography score for malignant tumors.Results  The sensitivity of ultrasound elastography in the diagnosis of malignant breast masses was 82.14%， the specificity was 76.62%， and the accuracy was 95.34%. The scores of benign masses in ultrasound elastography scores of 1 and 2 were higher than those of malignant masses， 3， 4， and 5 the proportions were lower than those of malignant masses， and the proportion of benign masses （3 points and below） was higher than that of malignant masses， and the proportion of 4 to 5 points was lower than that of malignant masses，the difference was statistically significant （P<0.05）.Conclusion  The diagnostic rate of ultrasound elastography for breast tumors was relatively high， and the elastography scores of benign tumors were mostly 3 points or less， and the scores of malignant tumors were mostly 4 to 5 points， which was of high value for clinical differential diagnosis.

Key words：Ultrasound elastography;Breast tumors;Benign and malignant

乳腺腫瘤（breast cancer）是临床常见乳腺疾病，主要表现为乳腺肿块、乳房疼痛、淋巴结肿大等形式。乳腺肿瘤临床表现多样化，无典型特征，临床及早诊断和治疗是预防治疗乳腺肿瘤的有效手段。因此，提高早期乳腺良恶性肿瘤诊断率，最大限度了解患者病情，并制订出相应的治疗方案，有助于改善患者预后。常规超声检查可以了解乳腺肿块大小、形态、结构，但对良、恶性肿瘤的诊断无统一标准。研究显示[1]，超声弹性成像在乳腺癌良性和恶性鉴别中的准确率较高，但仍存在争议。本研究结合2018年11月～2019年11月我院诊治的86例乳腺肿瘤患者临床资料，分析超声弹性成像在乳腺肿瘤良恶性诊断中的临床价值，现报道如下。

1资料与方法

1.1一般资料  选取2018年11月～2019年11月在佳木斯市肿瘤医院诊治的86例乳腺肿瘤患者为研究对象。纳入标准：均经彩色多普勒超声影像学检查及病理学检查确诊为乳腺肿瘤。……