目的比较两种超声诊断乳腺肿物方法的诊断价值。方法回顾性分析乳腺肿物患者112例的临床资料,以手术病理诊断为金标准,比较术前超声弹性成像比值和评分法诊断乳腺肿物的准确性。结果在乳腺肿物直径≥1cm的病例(62例),比值法诊断乳腺肿物性质的灵敏度为97.4%,特异度为94.5%,准确度为95.2%,高于评分法的84.9%(P<0.05)、79.8%(P<0.01)和82.9%(P<0.05)。结论与评分法比较,超声弹性成像比值法对乳腺肿物,尤其是直径≥1cm的肿物有较高的诊断价值。 Objective To compare the diagnostic value of two methods of ultrasonic diagnosis of breast tumor. Methods The clinical data of 112 patients with breast masses were retrospectively analyzed. The gold standard was used for the diagnosis of breast masses. The accuracy of preoperative ultrasound elastography and scoring method were compared. Results The sensitivity of the ratio method in diagnosing breast masses was 97.4%, the specificity was 94.5%, the accuracy was 95.2%, higher than that of the scoring method (62.9%) (P < 0.05), 79.8% (P <0.01) and 82.9% (P <0.05). Conclusion Compared with the scoring method, the ultrasound elastography ratio method has a high diagnostic value for breast masses, especially those with a diameter ≥1 cm.