探討高頻彩色多普勒超聲對乳腺癌腋窩淋巴結(jié)良惡性的診斷價值

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【摘要】目的：在乳腺癌腋窩淋巴結(jié)良惡性診斷中應(yīng)用高頻彩色多普勒超聲的效果。方法：選擇60例乳腺癌患者，以病理檢查為金標(biāo)準(zhǔn)，比較常規(guī)和彩色超聲的診斷效能。結(jié)果：病理檢查結(jié)果顯示，良性36例，惡性24例；常規(guī)超聲檢測的準(zhǔn)確度、特異度、靈敏度、陽性預(yù)測值及陰性預(yù)測值均低于高頻彩色多普勒超聲。惡性腋窩淋巴結(jié)有鈣化斑、融合、2.00及以下長短徑比值以及偏心增厚皮質(zhì)的占比均高于良性腋窩淋巴結(jié)（P

【關(guān)鍵詞】乳腺癌；病理檢查；良惡性；腋窩淋巴結(jié)

To investigate the diagnostic value of high-frequency color Doppler ultrasound for benign and malignant axillary lymph nodes in breast cancer

BU Qiuyun

Department of Ultrasound Medicine，Caoxian People’s Hospital， Heze， Shandong 274400， China

【Abstract】Objective：To evaluate the effect of high frequency color Doppler ultrasound in the diagnosis of benign and malignant axillary lymph nodes of breast cancer.Methods：60 patients with breast cancer were selected，the pathological examination were used as the gold standard to compare the diagnostic efficiency of routine and color ultrasonography.Results：Pathological examination showed that 36 cases were benign and 24 cases were malignant.The accuracy，specificity，sensitivity，positive predictive value and negative predictive value of conventional ultrasound were lower than those of high frequency color Doppler ultrasound.The proportion of calcification plaques，fusion，2.00 or below length diameter ratio and eccentric thickening cortex in malignant axillary lymph nodes were higher than those in benign axillary lymph nodes （P

【Key Words】Breast cancer； Pathological examination； Benign and malignant； Axillary lymph nodes

在婦科疾病中，乳腺癌發(fā)病率非常高，其有著較為復(fù)雜的發(fā)病機制，對于該病，目前臨床認為可能和遺傳因素、絕經(jīng)年齡過大以及月經(jīng)初潮年齡過小等有關(guān)[1]。（剩余3943字）