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目的:讨论超声弹性成像评分法在绝经后女性乳腺癌诊断中的应用价值。方法:选取2014年5月-2015年10月来威海市立医院手术的绝经后女性乳腺肿瘤患者112例,共151个病灶,,所有患者均有最终手术或穿刺而获得的病理结果。对所有患者应用超声弹性成像评分法和BI-RADS分级进行诊断,以病理结果作为对照,比较诊断效果。结果:超声弹性成像诊断乳腺肿块良恶性的准确率90.0%,敏感度为87.2%,特异性为88.2%。应用弹性成像评价恶性肿瘤诊断分级图像与二维图像面积比也具有统计学意义(1.92±0.51 vs 1.13±0.28)。结论:超声弹性成像对乳腺肿块诊断与鉴别诊断具有较高的价值,能够有助于绝经后女性乳腺肿块患者良恶性的判定,提高乳腺肿块的诊断准确性。
Objective: To discuss the value of ultrasound elastography scoring in the diagnosis of postmenopausal women with breast cancer. Methods: A total of 112 postmenopausal women with breast cancer who underwent surgery at Weihai Municipal Hospital from May 2014 to October 2015 were enrolled. A total of 151 lesions were obtained. All patients underwent final surgery or biopsy. All patients underwent ultrasound elastography scoring method and BI-RADS grading diagnosis, the pathological results as a control, to compare the diagnostic effect. Results: The accuracy of ultrasound elastography in the diagnosis of benign and malignant breast masses was 90.0%, the sensitivity was 87.2% and the specificity was 88.2%. The application of elastography in the evaluation of malignant tumor grade images and two-dimensional image area ratio was also statistically significant (1.92 ± 0.51 vs 1.13 ± 0.28). Conclusion: Elastography is of great value in the diagnosis and differential diagnosis of breast lumps, which can be helpful for the diagnosis of benign and malignant breast lumps in postmenopausal women and improve the diagnostic accuracy of breast lumps.