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目的分析探讨两种检测方法对乳腺良恶性占位病变的诊断价值。方法选取我院收治的乳腺占位性病变患者198例,分别进行病理检查、超声弹性成像检查、彩色多普勒超声检查,观察肿块的血流情况、使用Adler法进行血流分级,使用罗葆明等研究者改良的5分法进行弹性评分,判定乳腺肿瘤性质。结果超声弹性成像检查对乳腺恶性占位的诊断敏感性为85.86%(79/92),特异性为93.79%(136/145),准确性为90.71(215/237);彩色多普勒超声检查结果对乳腺恶性占位的诊断敏感性为68.47%(63/92),特异性为73.79%(107/145),准确性为71.73%(170/237)。结论超声弹性成像对乳腺良恶性占位病变的诊断,其敏感性、特异性、准确性均高于彩色多普勒超声,应在临床中推广使用,但是其检测结果也存在一定误差,应结合多种检测结果综合评价。
Objective To analyze the diagnostic value of two detection methods in benign and malignant breast lesions. Methods 198 patients with breast lesions admitted to our hospital were selected for pathological examination, ultrasound elastography, color Doppler ultrasonography, blood flow of the tumor, Adler method for blood flow classification, The researchers modified the five-point method for elastic score to determine the nature of breast tumors. Results The diagnostic sensitivity of ultrasonic elastography in diagnosis of malignant breast lesions was 85.86% (79/92), specificity was 93.79% (136/145) and accuracy was 90.71 (215/237). Color Doppler ultrasonography Results The sensitivity of the diagnosis of malignant breast lesions was 68.47% (63/92), the specificity was 73.79% (107/145) and the accuracy was 71.73% (170/237). Conclusions Ultrasound elastography is more sensitive, specific and accurate than color Doppler ultrasound in the diagnosis of benign and malignant breast lesions. It should be widely used in clinic, but there are some errors in its detection results. Comprehensive evaluation of a variety of test results.