湖南中医药大学学报2018，Vol.38Issue(11)：1345-1349,5.DOI:10.3969/j.issn.1674-070X.2018.11.028
SMI对肝郁痰凝型乳腺癌实性肿块的检测价值
Value of Superb Microvascular Imaging in Detection of Solid Breast Masses with Liver-Qi Stagnation and Phlegm Coagulation
摘要
Abstract
Objective To analyze the blood flow of breast cancer with liver-Qi stagnation and phlegm coagulation and to investigate the value of superb microvascular imaging (SMI) in the detection of solid masses. Methods A total of 68 nodules from60 patients with pathologically confirmed breast cancer with liver-Qi stagnation and phlegm coagulation were subjected to color Doppler imaging (CDI), Doppler energy imaging (PDI), and SMI. The blood flow in the same nodule measured by the three methods was compared, and the differences in the optimal diagnostic threshold, sensitivity, and specificity for malignant tumors between the three methods were evaluated. Results There was a significant difference in the plenty of blood flow between CDI, PDI, and SMI (P ＜0.05). The optimal diagnostic threshold, sensitivity, and specificity of SMI, CDI, and PDI for breast cancer were as follows: number of blood vessels ≥3 vs number of blood vessels ≥2 vs number of blood vessels ≥2; 92.00％ vs 72.20％ vs72.22％; 62.50％ vs 62.60％ vs 62.73％. In terms of SMI-CDI and SMI-PDI, the differences in the number of blood vessels, sensitivity, and specificity were ≥3 vs ≥3, 85.21％ vs 85.51％, and 84.00％ vs 84.18％, respectively. Conclusion SMI has an important value in the detection of solid breast masses with liver-Qi stagnation and phlegm coagulation, and it can improve the diagnostic accuracy of breast cancer with liver-Qi stagnation and phlegm coagulation type.关键词
肝郁痰凝型乳腺癌/乳腺肿块/超微细血管成像/多普勒Key words
breast cancer with liver-Qi stagnation and phlegm coagulation/breast mass/superb microvascular imaging/Doppler分类
医药卫生引用本文复制引用
张瑛苹,廖成容,殷柳,张海霞..SMI对肝郁痰凝型乳腺癌实性肿块的检测价值[J].湖南中医药大学学报,2018,38(11):1345-1349,5.基金项目
重庆市卫生和计划生育委员会医学科研计划项目(2015XMSB0001287) （2015XMSB0001287）
