| 卢晓莉,周国志,王君东,陈颖彬,夏丛燕.乳腺癌腋窝淋巴结转移患者应用多普勒超声与CT的诊断价值比较[J].,2020,(24):4797-4800 |
| 乳腺癌腋窝淋巴结转移患者应用多普勒超声与CT的诊断价值比较 |
| Comparison of the Diagnostic Value of Doppler Ultrasonography and 128-slice Spiral CT in Breast Cancer with Axillary Lymph Node Metastasis |
| 投稿时间：2020-07-24 修订日期：2020-08-17 |
| DOI：10.13241/j.cnki.pmb.2020.24.045 |
| 中文关键词: 多普勒超声 128排螺旋CT 乳腺癌 腋窝淋巴结转移 诊断价值 |
| 英文关键词: Doppler ultrasound 128-slice spiral CT Breast cancer Axillary lymph node metastasis Diagnostic value |
| 基金项目:江苏省自然科学基金项目(BK2012162) |
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| 中文摘要: |
| 摘要 目的：探讨乳腺癌腋窝淋巴结转移患者应用多普勒超声与CT的诊断价值比较。方法：回顾性分析2017年3月至2019年3月我院接诊的60例经过手术病理证实的乳腺癌患者。比较多普勒超声与128排螺旋CT在乳腺癌腋窝淋巴结转移中的检出率、声像特征比较及两组灵敏度、特异度、准确度。结果：在术后经过病理证实的60例乳腺癌手术患者中，有38例为腋窝淋巴结转移，有22例未腋窝淋巴结转移，在多普勒超声诊断结果对乳腺癌腋窝淋巴结转移诊断中，36例得到确诊，在128排螺旋CT诊断中，30例得到确诊；多普勒超声皮质向心性生长、淋巴结内钙化灶、淋巴结横直径比值及淋巴结边界模糊检出率均显著高于128排螺旋CT检出率，差异显著（P＜0.05）；将病理结果作为金标准。多普勒超声灵敏度、特异度、准确度均比128排螺旋CT结果高，两组方式比较具有显著差异（P＜0.05）。结论：多普勒超声在乳腺癌腋窝淋巴结转移中诊断价值高，可帮助临床提供正确诊断，以选择合适的治疗方案。 |
| 英文摘要: |
| ABSTRACT Objective: To study Comparison of the diagnostic value of Doppler ultrasonography and 128-slice spiral CT in breast cancer with axillary lymph node metastasis. Methods: A retrospective analysis was performed on 60 cases of breast cancer confirmed by surgery and pathology from March 2017 to March 2019 in our hospital. To compare the detection rate, sonographic characteristics, sensitivity, specificity and accuracy of Doppler ultrasonography and 128-slice spiral CT in axillary lymph node metastasis of breast cancer. Results: Among the 60 patients with breast cancer confirmed by pathology after surgery, 38 had axillary lymph node metastasis and 22 had no axillary lymph node metastasis. In the diagnosis of breast cancer with axillary lymph node metastasis, 36 cases were confirmed by Doppler ultrasound, and 30 cases were confirmed by 128-slice spiral CT. The detection rate of cortical centripetal growth, intra-lymph node calcification, lymph node diameter ratio and lymph node boundary ambiguity by Doppler ultrasound was significantly higher than that by 128-slice spiral CT (P<0.05). Use pathology as the gold standard. The sensitivity, specificity and accuracy of Doppler ultrasound were higher than those of 128-slice spiral CT, and there were significant differences between the two groups (P<0.05). Conclusion: Doppler ultrasonography is of high diagnostic value in breast cancer with axillary lymph node metastasis, which can help to provide correct diagnosis and select appropriate treatment. |
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