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中国初级卫生保健:2019,33(12):131-132
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超声联合声触诊组织成像鉴别诊断乳腺良恶性病变的价值分析
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中文摘要: 目的 探讨超声联合声触诊组织成像(VTI)鉴别诊断乳腺良恶性病变的临床价值。方法 选取2016年2月—2018年5月在焦作市第二人民医院行手术治疗的242例乳腺肿瘤患者的242个乳腺病灶,术前均接受超声、VTI检查。分析VTI模式下乳腺良恶性病变病灶边界清晰程度、VTI分级;以手术病理结果为金标准,对比超声和联合VTI对乳腺良恶性病变诊断价值。结果 242个乳腺病灶中,良性病灶174个(71.90%),恶性病灶68个(28.10%);乳腺恶性病变病灶边界清晰程度与VTI分级IV~V级率高于乳腺良性病变,差异有统计学意义(P<0.05);超声联合VTI诊断乳腺良恶性病变的特异性与准确性高于常规超声,差异有统计学意义(P<0.05);超声联合VTI诊断乳腺良恶性病变的敏感性高于常规超声,但差异无统计学意义(P>0.05)。结论 超声联合VTI诊断乳腺良恶性病变的价值更高,可有效提高诊断的准确性与特异性,值得临床上推广。
Abstract:Objective To investigate the clinical value of ultrasound combined with acoustic palpation tissue imaging (vti) in the differential diagnosis of benign and malignant breast lesions. Methods A total of 242 breast lesions from 242 patients with breast tumor who underwent surgery from February 2016 to May 2018 were enrolled. Ultrasound and vti were performed before surgery. To analyze the boundary degree and vti classification of benign and malignant breast lesions in vti mode, and evaluate the value of ultrasound and combined vti in the diagnosis of benign and malignant breast lesions. RESULTS Of the 242 breast lesions, 174 were benign lesions (71.90%) and 68 were malignant lesions (28.10%). The borderline clarity and vti iv-v grade of breast malignant lesions were higher than those of benign breast lesions, which had significance (P<0.05); the specificity and accuracy of ultrasound combined with vti in the diagnosis of benign and malignant breast lesions were higher than conventional ultrasound, the difference was statistically significant (P<0.05); the sensitivity of ultrasound combined with vti in the diagnosis of benign and malignant breast lesions was higher than that of conventional ultrasound, but the difference was not statistically significant (P>0.05). Conclusion Ultrasound combined with vti was more valuable in the diagnosis of benign and malignant breast lesions, which could effectively improve the accuracy and specificity of diagnosis. It was worthy of clinical promotion.
文章编号:3201912043     中图分类号:R737    文献标志码:
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薛淑恒①  
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