ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-068 检验与方法 2025, (04)

超声弹性成像技术在乳腺疾病良恶性鉴别诊断中的临床价值

平阴县人民医院

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摘要

目的 探讨超声弹性成像技术在乳腺疾病良恶性鉴别诊断中的临床价值,并与常规超声进行对比分析。方法 选取某医院 184 例乳腺疾病患者作为研究对象,通过超声弹性成像和常规超声分别对患者进行诊断,并以病理诊断结果作为金标准。统计两种诊断方法的敏感性、特异性、准确性、阴性预测值及阳性预测值等参数。采用统计学检验和显著性分析比较两种技术的诊断效能差异。结果 超声弹性成像的灵敏度、特异度和准确性分别为 91.30%、95.65% 和 94.02%,显著高于常规超声的 72.46%、75.65% 和 74.45%(P<0.05)。同时,超声弹性成像的阳性预测值(92.65%)和阴性预测值(94.83%)也明显优于常规超声(64.10% 和 82.08%)(P 均<0.05),结果显示,两种技术在乳腺疾病良恶性鉴别诊断中的诊断效能存在显著差异。结论 超声弹性成像技术相比常规超声在乳腺疾病诊断中具有更高的敏感性、特异性和准确性,能够有效鉴别乳腺疾病的良恶性,减少误诊率,提高诊断效能,具有重要的临床应用价值,建议优先推广使用。

Abstract

Objective To investigate the clinical value of ultrasound elastography in the differential diagnosis between benign and malignant lesions breast diseases and to conduct a comparative analysis with conventional ultrasound. Methods A total of 184 patients with breast diseases in a hospital were selected as the research objects. The patients were diagnosed by ultrasonic elastography and conventional ultrasound respectively, and the pathological diagnosis results were used as the gold standard. The sensitivity, specificity, accuracy, negative predictive value and positive predictive value of the two diagnostic methods were statistically analyzed. Statistical test and significance analysis were used to compare the diagnostic efficacy of the two techniques. Results The sensitivity, specificity, and accuracy of ultrasound elastography were 91.30%, 95.65%, and 94.02%, respectively, which were significantly higher than those of conventional ultrasound, (72.46%, 75.65%, and 74.45%), (P<0.05). Meanwhile, the positive predictive value (92.65%) and negative predictive value (94.83%) of ultrasound elastography were also markedly superior to those of conventional ultrasound (64.10% and 82.08%), (P<0.05). The results indicated a significant difference in the diagnostic efficacy between the two techniques in differentiating benign and malignant breast diseases. Conclusion ultrasound elastography exhibits higher sensitivity, specificity, and accuracy compared to conventional ultrasound in the diagnosis of breast diseases. It can effectively distinguish between benign and malignant breast lesions, reduce misdiagnosis rates, and enhance diagnostic efficacy. Therefore, ultrasound elastography holds significant clinical application value and is recommended for priority promotion and use.

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[1]葛春娣.超声弹性成像技术在乳腺疾病良恶性鉴别诊断中的临床价值[J],2025,01(04):.