超声弹性应变率值在鉴别乳腺炎与乳腺癌中的应用分析

薛映月; 邵清; 蔡满满

doi:10.15953/j.1004-4140.2018.27.03.11

超声弹性应变率值在鉴别乳腺炎与乳腺癌中的应用分析

1. 江阴市徐霞客医院超声科, 江苏无锡 214407;
2. 江阴市人民医院肿瘤科, 江苏无锡 214400;
3. 南京医科大学附属无锡妇幼保健院 B 超室, 江苏无锡 214002

基金项目:

2015年无锡市卫生局科研项目（MS201532）。

详细信息

作者简介:
薛映月(1984-),女,学士,江阴市徐霞客医院超声科主管技师,主要从事超声波医学技术工作,Tel:13621528610,E-mail:tyytwq4@163.com;蔡满满^*(1984-),女,学士,南京医科大学附属无锡妇幼保健院B超室住院医师,主要从事超声科诊断工作。

中图分类号: R445
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出版历程
- 收稿日期: 2018-03-07
- 网络出版日期: 2021-11-07

Ultrasound Elastic Strain Rate Values in the Differentiation of Mastitis and Breast Cancer

1. Department of Ultrasound, Jiangyin Xuxiake Hospital, Wuxi 214407, China;
2. Department of Oncology, Jiangyin People's Hospital, Wuxi 214400, China;
3. Department of B ultrasonic room, Nanjing Medical University Attached to Wuxi Maternal and Child Health Care Hospital, Wuxi 214002, China

摘要

摘要: 目的：探讨超声弹性应变率值在乳腺炎与乳腺癌患者中的鉴别及应用效果。方法：选择2015年6月至2017年10月入院治疗的乳腺癌患者48例和乳腺炎患者50例，分别设乳腺炎组和乳腺癌组。两组入院后均采用日立图腾彩超诊断仪对患者进行诊断，检查时患者先行常规二维超声检查，然后对患者进行弹性图像检查，选择感兴趣区域，采用系统软件计算出弹性应变率比值，绘制ROC曲线，分析超声弹性应变率值在乳腺炎与乳腺癌患者中的诊断、鉴别效能。结果：乳腺癌与乳腺炎患者均经过病理检查得到确诊，乳腺癌类型中排在前两位为浸润性导管癌、导管内癌，分别占68.75%和16.67%；乳腺炎排在前两位为导管壁增厚，周围伴有炎细胞浸润和导管壁结构破坏伴结核样肉芽肿，分别占36.0%和34.0%；乳腺炎组与乳腺癌组均顺利完成弹性图像检查，乳腺癌组超声弹性应变率值，高于乳腺炎组（P<0.05）；ROC曲线结果表明，超声弹性应变率ROC曲线下面积为0.935，诊断乳腺炎、乳腺癌敏感度、特异度及准确度分别为93.1%、90.2%和85.7%。结论：将超声弹性应变率值用于乳腺癌和乳腺炎鉴别中效果理想，能获得较高的诊断效能，能为临床治疗提供依据和参考，值得推广应用。
- 超声弹性应变率值 /
- 乳腺癌 /
- 乳腺炎 /
- ROC曲线 /
- 诊断效能
Abstract: Objective: To explore the identification and application of ultrasonic elastic strain rate in mastitis and breast cancer patients. Methods: A total of 48 patients with breast cancer and 50 patients with mastitis who were admitted to hospital from June 2015 to October 2017 were selected. They were designated as mastitis group and breast cancer group, respectively. Both groups were diagnosed with Hitachi Totem Color Doppler Ultrasound after admission. During the examination, the patient was subjected to routine two-dimensional ultrasound examination. The patient was then subjected to elastic image examination, and the region of interest was selected. The system software was used to calculate the elastic strain rate ratio and plotted. The ROC curve was used to analyze the diagnostic and differential efficacy of ultrasonic elastic strain rate in mastitis and breast cancer patients. Results: Breast cancer and mastitis patients were diagnosed by pathological examination. The top two breast cancer types were:invasive ductal carcinoma, intraductal carcinoma, respectively:68.75% and 16.67%; mastitis ranked first The two were thickening of the catheter wall, with inflammatory cell infiltration and tube wall structure destruction with tuberculous granuloma, accounting for 36.0% and 34.0% respectively; both the mastitis group and the breast cancer group successfully completed the elastic image examination. The ultrasonic elastic strain rate of the group was higher than that of the mastitis group (P<0.05). The ROC curve results showed that the area under the ROC curve of the ultrasonic elastic strain rate was 0.935. The sensitivity, specificity and accuracy of the diagnosis of mastitis and breast cancer were:93.1%, 90.2% and 85.7%. Conclusion: The value of ultrasonic elastic strain rate for the identification of breast cancer and mastitis is ideal. It can obtain high diagnostic efficiency and provide a basis and reference for clinical treatment. It is worthy of popularization and application.
- ultrasonic elastic strain rate /
- breast cancer /
- mastitis /
- ROC curve /
- diagnostic efficacy

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2.	周瑾，邢飞，樊云清，张鹭. 加速时间指数及弹性应变率比值鉴别诊断乳腺良恶性肿瘤的价值. 临床超声医学杂志. 2021(03): 212-215 . 百度学术
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