乳腺肿块超声弹性成像误诊原因分析及对策.doc

乳腺肿块超声弹性成像误诊原因分析及对策.doc乳腺肿块超声弹性成像误诊原因分析及对策
时|'0］：2008-05-05 22:30来源:超声医学研究网作者:超声医学研究网点击： 638 次
摘要目的探讨超声弹性成像对乳腺肿瘤误诊原因及对策。方法 对458例患者 共597个乳腺病灶进行了超声弹性成像检杳，以手术病理为金标准，对超声弹性 成像误诊的原因进行分析。结果27个恶性病灶误诊为良性，7个良性病灶误诊 为恶性。结论正确掌握超声弹性成
摘要
目的探讨超声弹性成像对乳腺肿瘤误诊原因及对策。方法 对458例患者共 597个乳腺病灶进行了超声弹性成像检杳，以手术病理为金标准，对超声弹性成 像误诊的原因进行分析。结果27个恶性病灶误诊为良性，7个良性病灶误诊为 恶性。结论正确掌握超声弹性成像原理和检杳方法以及完善评分标准将有助于 提高超声弹性成像诊断乳腺肿瘤的准确性。 关键词弹性成像，乳腺，超声，误诊
The Causes and Strategy of Misdiagnosis for Breast Masses by Ultrasonic Elastography
Luo Baoming, Ou Bing, Zhi Hui, et al
Dept. Ultrasound in Medicine, Second Affiliated Hospital, Sun Yat-sen University, Guangzhou 510120 China
Abstract Objective: To probe the causes and strategy of misdiagnosis for breas t masses by ult rasonic elas to graphy (UE). Met hods: Four hundred and fifty-eight patients with 597 lesions confirmed by pathology were examined by UE. The causes of misdiagnosis by UE were analysed. ResuIts: Twenty—seven malignant masses were misdiagnosed as benign lesions and 7 benign masses were misdiagnosed as malignant lesions・ Conclusions: Comprehending the principle, correct examination method and improved elastographic strain scores may be helpful for increasing the accuracy of UE for diagnosing breast lesions・
Key Words： Elastography Breast Ultrasonography Misdiagnosis 近年来，随着超声技术的发展，超声弹性成像(ultrasonic elastography, UE)已逐渐应用于临床乳腺疾病的诊断，并预示着较好的应用前景口勺。然而， 和既往其它超声技术一样，超声弹性成像技术对乳腺疾病的诊断也存在一定的假