| 郭晓波 刘 颖 包玉瑜 胡耀红 池淑宏.超声弹性成像技术对腋窝淋巴结性质的诊断价值[J].,2015,15(6):1109-1111 |
| 超声弹性成像技术对腋窝淋巴结性质的诊断价值 |
| The Value of Ultrasound Elasticity Imaging Technology in the Diagnosis ofAxillary Lymph Node Characteristic |
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| DOI： |
| 中文关键词: 超声弹性成像技术 腋窝淋巴结 诊断价值 |
| 英文关键词: Ultrasound elasticity imaging technique Axillary lymph node Diagnostic value |
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| 中文摘要: |
| 目 的： 研究超声成像技术对腋窝淋巴结性质的诊断价值。 方法： 从 2013 年 5 月 至 2014 年 2 月 ， 选择我院 50 例 乳腺癌患者，
对所有患者进行弹性成像技术检测出 74 个腋窝淋巴结。对所有腋窝淋巴结使用 四分法进行评分， 将其与 手术病理结果进行比
较。 结果： 74 个腋窝淋巴结中， 反应性淋巴结有 42 个， 纵径为（ 0.9-2.4）cm， 平均纵径为（ 1.31± 0.33）cm；乳腺癌腋窝淋巴结转移个
数为 25 个， 纵径为（ 1.2± 3.8）cm， 平均纵径为（ 2.04± 0.72）cm。 良性淋巴结弹性评分大多 为 1 分（ 54.55%）以及 2 分（ 27.27%）， 恶
性淋巴结评分多 为 3 分（ 63.33%）以及 4 分（ 20.00%）。 恶性淋巴结评分为（ 3.12± 0.61）分，良性淋巴结评分为（ 1 .68± 0.74）分，结果
显示， 两组淋巴结弹性评分具有较大差异（即 P＜ 0.05），具有可比性。 结论： 综上所述，超声弹性成像技术操作较为简便，效果较为
直观， 评分法能够提供组织的硬度信息，在临床工作中， 与 常规超声 联合应用 有利 于提高评价腋窝淋巴结良恶性性质的准确度。
值得临床推荐使用 。 |
| 英文摘要: |
| Objective:To study the value of ultrasound elasticity imaging technology in the diagnosis of axillary lymph node
characteristic.Methods:50 cases of patients with breast cancer underwent elastography detection of 74 axillary lymph nodes in our
hospital from 201 3 May to 201 4 February. The quartering methods was used to evaluate the axillary lymph node, and the results were
compared with those of pathology.Results:Among 74 axillary lymph nodes, there were 42 reactive lymph nodes, the longitudinal
diameter was (0.9-2.4) cm, and average longitudinal diameter was (1 .31 ± 0.33) cm; The number of breast cancer metastatic axillary
lymph node was 25, the longitudinal diameter was (1 .2 ± 3.8) cm, and the average longitudinal diameter was (2.04 ± 0.72) cm. Benign
lymph node elastic score was mostly 1 point (54.55%) and 2 points (27.27%), malignant lymph node score was mostly 3 points (63.33%)
and 4 points(20%).The score for malignant lymph node was (3.12 ± 0.61 )points, and was (1 .68 ± 0.74)points for benign lymph nodes,
the results showed there was statistically significant difference in lymph node elastic score between two groups(P<0.05).Conclusion:The
ultrasound elasticity imaging technology was easily operative, more intuitively clear, the scoring method can provide tissue hardness
information, by combining with conventional ultrasonography, it will help in improving accuracy of the evaluation of benign and
malignant lymph nodes. It is worthy of wide application. |
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