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目的:探讨超声ABVS结合UE技术对乳腺良恶性肿瘤的鉴别诊断价值。方法:应用常规超声、ABVS及UE对84例病理证实的乳腺肿块进行检查。结果:病理结果显示良性肿块34例,恶性肿块50例。常规超声诊断乳腺肿瘤良恶性的敏感度为76%,特异度为63%,准确度为69%。应用ABVS诊断敏感度为82%,特异度为87%,准确度为87%;应用UE诊断敏感度为84%,特异度为78%,准确度为83%。联合应用ABVS、UE对乳腺恶性肿瘤诊断敏感度96%,特异度94%,准确度94%。结论:联合应用ABVS、UE有助于乳腺病灶良恶性鉴别诊断。
Objective: To investigate the differential diagnosis of benign and malignant breast tumors by ultrasound ABVS combined with UE technique. Methods: Eighty-four pathologically confirmed breast masses were examined by conventional ultrasound, ABVS and UE. Results: Pathological results showed that benign mass in 34 cases, malignant mass in 50 cases. Conventional sonographic diagnosis of benign and malignant breast tumor sensitivity was 76%, specificity was 63%, accuracy of 69%. Application of ABVS diagnostic sensitivity was 82%, specificity was 87%, accuracy was 87%; application of UE diagnostic sensitivity of 84%, specificity of 78%, accuracy of 83%. Combined with ABVS, UE has a sensitivity of 96%, specificity of 94% and accuracy of 94% for the diagnosis of breast cancer. Conclusion: The combination of ABVS and UE can be helpful for the differential diagnosis of benign and malignant breast lesions.