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目的 评价彩超与临床触诊在诊断乳腺癌腋窝转移性淋巴结中的价值。方法 60例乳腺癌行腋窝淋巴结清扫术患者作术前前瞻性彩超检查 ,并和术后病理对照 ,双盲法观察分析影像所见 ,将其结果做统计学处理。结果 在 60例乳腺癌腋窝淋巴结清扫术后病理检查中 3 3例有转移性淋巴结。临床触诊检出其中 1 7例 (敏感性 5 1 .5 %、特异性 88.9%、准确性 68.3 % ) ,彩超检出 2 8例 (敏感性 84.8%、特异性1 0 0 %、准确性 88.3 % )。彩超可确诊 68.7%临床漏诊的隐匿性转移淋巴结。结论彩超明显优于临床检查 ,是目前预计腋窝淋巴结是否受累的较准确方法
Objective To evaluate the value of color Doppler ultrasonography and clinical palpation in the diagnosis of axillary metastatic lymph nodes in breast cancer. Methods Sixty cases of breast cancer undergoing axillary lymph node dissection were prospectively examined by color Doppler ultrasonography. The results were compared with postoperative pathology and double blindness. The results were statistically analyzed. Results In 60 cases of breast cancer axillary lymph node dissection postoperative pathological examination of 33 cases of metastatic lymph nodes. Seventeen cases were detected by palpation (sensitivity 51.5%, specificity 88.9%, accuracy 68.3%), and color Doppler ultrasound was detected in 28 cases (sensitivity 84.8%, specificity 100%, accuracy 88.3%). Ultrasound can be diagnosed 68.7% of clinical missed diagnosis of occult metastatic lymph nodes. Conclusions Color Doppler ultrasound is superior to clinical examination, which is the more accurate method to predict whether axillary lymph nodes are involved