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目的分析超声弹性成像与彩超检查在乳腺占位性病变鉴别诊断中的应用价值。方法选择2013年1月至2015年10月禹州市中心医院收治的乳腺占位性病变患者102例,共有112个病灶,所有病灶均经手术病理学确诊。入选患者分别给予超声弹性成像与彩超检查。以病理学检查结果为金标准,对比两者诊断结果。结果彩超诊断的灵敏度、特异度与准确度分别为91.67%、94.23%、92.86%,均明显高于超声弹性成像的78.33%、80.77%、79.46%,差异有统计学意义(P<0.05)。结论在乳腺占位性病变诊断中,彩超较超声弹性成像检查更具优势,有助于鉴别诊断乳腺占位性良恶性病变,为临床治疗提供准确指导。
Objective To analyze the value of elastography and color Doppler ultrasonography in the differential diagnosis of breast lesions. Methods From January 2013 to October 2015, 102 cases of breast lesions were treated in Yuzhou Central Hospital. There were 112 lesions, all lesions were confirmed by pathology. Selected patients were given ultrasound elastography and color Doppler ultrasound examination. The pathological examination results as the gold standard, comparing the two diagnosis results. Results The sensitivity, specificity and accuracy of color Doppler ultrasonography were 91.67%, 94.23% and 92.86% respectively, which were significantly higher than 78.33%, 80.77% and 79.46% of elastography. The difference was statistically significant (P <0.05). Conclusion In the diagnosis of breast lesions, color Doppler ultrasound is more advantageous than ultrasound elastography, which is helpful to differentiate benign and malignant breast lesions and provide accurate guidance for clinical treatment.