超声弹性成像对淋巴结病变的诊断价值.doc

超声弹性成像对淋巴结病变的诊断价值
管湘霞孙捷付志勇
江西省肿瘤医院江西省妇幼保健院
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摘    要:
目的探讨实时超声弹性成像技术(RTE) 对浅表淋巴结病变的诊断价值。方法对66例患者66枚淋巴结进行RTE和常规超声检查, 检出的66枚淋巴结进行活检或细胞学穿刺。用超声诊断仪自带的测量软件测出各个淋巴结的应变率值。结果 RTE诊断恶性淋巴结病变的敏感性、%、%、%。结论RTE对浅表淋巴结的定性诊断有一定价值, 结合常规超声检查可进一步提高其诊断准确性。
关键词:
实时弹性成像; 淋巴结;
收稿日期:2017-06-09
Diagnostic Value of Real-time Ultrasound Elastography for Lymph Nodes
GUAN Xiangxia SUN Jie FU Zhiyong
Jiangxi Cancer Hospital;
Abstract:
Objective To evaluate the value of real-time Ultrasound elastography ( RTE) in the diagnosis of lymph nodes. Methods A total of 66 patients with 66 lymph nodes ( LNs) were included in the study. The lymph nodes were found by ultrasound, then the strain images and strain ratio were calculated by RTE with the measure software. Results The sensitivity, specificity, and the accuracy of RTE in the diagnosis of malignant lymph nodes were 65. 31%, 80. 00%, 84. 50%. Conclusion RTE has high value in the diagnosis of lymph nodes, but still need bined with conventional ultrasonography to improve the diagnosis accuracy of lymph nodes.
Keyword:
Real-time ultrasound elastography; Lymph nodes;
Received: 2017-06-09
实时超声弹性成像已被广泛应用于浅表器官、肝脏、前列腺等, 并在鉴别良恶性病变方面的价值得到了肯定[1]。本研究旨在探讨将弹性成像对浅表淋巴结的定性诊断的价值。
1 资料与方法
一般资料
我院2015年8月至2017年4月诊治的患者66例, 合计66枚淋巴结, 转移性35枚, 淋巴瘤16枚, 反应性增生14枚,