超声造影参数及临床特征预测乳腺结节微波消融后疗效的价值

Value of contrast-enhanced ultrasound parameters and clinical features in predicting efficacy after microwave ablation of breast nodules

  • 摘要:
      目的  探讨超声造影参数及临床特征预测乳腺结节微波消融后疗效的价值。
      方法  回顾性分析本院收治的80例行微波消融治疗的乳腺结节女性患者的临床资料,所有患者均接受超声引导下微波消融治疗及超声造影检查。将80例患者分为观察组(乳腺结节的体积缩小≥ 50%)65例和对照组(乳腺结节的体积缩小 < 50%)15例。比较2组患者一般资料及超声造影参数,采用多因素Logistic回归分析法分析乳腺结节微波消融干预疗效的独立影响因素。
      结果  单因素分析结果显示,观察组达峰时间(TTP)高于对照组,体质量指数、雌二醇(E2)、峰值强度(PI)低于对照组,差异有统计学意义(P < 0.05)。多因素Logistic回归分析显示,体质量指数、E2、TTP、PI是微波消融治疗乳腺结节疗效的独立影响因素(P < 0.05)。
      结论  超声造影参数TTP、PI结合临床特征对预测乳腺结节微波消融后疗效具有重要临床价值。

     

    Abstract:
      Objective  To explore the value of contrast-enhanced ultrasound parameters and clinical features in predicting the efficacy after microwave ablation of breast nodules.
      Methods  Clinical materials of 80 female patients with breast nodules treated by microwave ablation in our hospital were analyzed retrospectively. All the patients underwent ultrasound-guided microwave ablation and contrast-enhanced ultrasound examination. Totally 80 patients were divided into observation group (volume reduction of breast nodules ≥ 50%) with 65 cases and control group (volume reduction of breast nodules < 50%) with 15 cases. The general materials and contrast-enhanced ultrasound parameters were compared between two groups, and the independent influencing factors of microwave ablation of breast nodules were analyzed by multivariate Logistic regression analysis.
      Results  The results of univariate analysis showed that the time to peak (TTP) of the observation group was significantly higher than that of the control group, while the body mass index, estradiol (E2) and peak intensity (PI) were significantly lower than those of the control group (P < 0.05). Multivariate Logistic regression analysis showed that body mass index, E2, TTP and PI were the independent influencing factors (P < 0.05).
      Conclusion  The parameters of contrast-enhanced ultrasound such as TTP and PI combined with clinical features show important clinical value in predicting the efficacy after microwave ablation of breast nodules.

     

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