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.

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. [ABSTRACT FROM AUTHOR]