超声弹性成像与ICAM-1、sICAM-1评估浆细胞性乳腺炎的价值研究

毛乾妹; 董建兰; 陈丹; 李丹琼

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超声弹性成像与ICAM-1、sICAM-1评估浆细胞性乳腺炎的价值研究

经验交流 | 更新时间：2023-10-11

- 超声弹性成像与ICAM-1、sICAM-1评估浆细胞性乳腺炎的价值研究
- Study on the value of ultrasound elastography and clinical parameters such as ICAM-1 and sICAM-1 in the prognostic evaluation of plasma cell mastitis
- 临床超声医学杂志 2022年24卷第6期
- 作者机构：
  
  宁波大学附属人民医院甲乳腔镜外科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号：
- 纸质出版日期：2022，
  
  网络出版日期：2022-7-5，
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毛乾妹, 董建兰, 陈丹, 等. 超声弹性成像与ICAM-1、sICAM-1评估浆细胞性乳腺炎的价值研究[J]. 临床超声医学杂志, 2022,24(6).

Study on the value of ultrasound elastography and clinical parameters such as ICAM-1 and sICAM-1 in the prognostic evaluation of plasma cell mastitis[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(6).
毛乾妹, 董建兰, 陈丹, 等. 超声弹性成像与ICAM-1、sICAM-1评估浆细胞性乳腺炎的价值研究[J]. 临床超声医学杂志, 2022,24(6). DOI：

Study on the value of ultrasound elastography and clinical parameters such as ICAM-1 and sICAM-1 in the prognostic evaluation of plasma cell mastitis[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(6). DOI：

摘要

目的：探讨超声弹性成像技术与血清细胞间黏附分子-1(ICAM-1)、可溶性细胞间黏附分子-1(sICAM-1)、Ki-67阳性表达率、临床分期等临床参数在浆细胞性乳腺炎患者预后评估中的应用。方法：选取85例浆细胞性乳腺炎患者的临床资料进行回顾性分析

选取时间为2018年2月至2020年5月

根据治疗后效果分为预后良好组(n=67)与预后不良组(n=18)

对比弹性应变率、弹性成像评分

分析临床分期、Ki-67表达情况、ICAM-1、sICAM-1与弹性应变率、弹性成像评分的相关性

以及评估弹性应变率、弹性成像评分、ICAM-1、sICAM-1预测PCM患者预后不良的AUC、敏感度、特异性及约登指数。结果：两组在乳头状况、临床分期、Ki-67表达、ICAM-1、sICAM-1比较中

差异存在统计学意义(P＜0.05)。预后不良组的弹性应变率、弹性成像评分高于预后良好组(P＜0.05)。Spearman相关性显示

临床分期与弹性应变率呈负相关(r=-0.219

P＜0.05)

Ki-67表达与弹性成像评分呈正相关(r=0.322

P＜0.05)；Pearson相关性显示

ICAM-1、sICAM-1与弹性应变率呈正相关(r=0.811/0.828

P＜0.05)

ICAM-1、sICAM-1与弹性成像评分呈正相关(r=0.782/0.850

P＜0.05)。ROC曲线分析显示

弹性应变率、弹性成像评分、ICAM-1、sICAM-1、预测PCM患者预后不良的AUC分别为(0.926、0.983、0.955、0.964

P＜0.05)。结论：超声弹性成像与ICAM-1、sICAM-1等临床参数用于评估PCM患者预后具有较高的临床价值

能为临床诊治提供指导。

Abstract

Objective: To explore the relationship between ultrasound elastography and serum intercellular adhesion molecule-1 (ICAM-1)

soluble intercellular adhesion molecule-1 (sICAM-1)

Ki-67 positive expression rate

clinical stage and other clinical parameters in plasma cell mastitis Application in the evaluation of patient prognosis. Methods: The clinical data of 85 patients with plasma cell mastitis were selected for retrospective analysis. The selection time was from February 2018 to May 2020. According to the treatment effect

they were divided into a good prognosis group (n=67) and a poor prognosis group (n =18)

compare the elastic strain rate and elastography score

analyze the clinical stage

Ki-67 expression

the correlation between ICAM-1

sICAM-1 and the elastic strain rate

elastography score

and evaluate the elastic strain rate and elastography Score

ICAM-1

sICAM-1 predict poor prognosis AUC

sensitivity

specificity and Youden index of PCM patients.Results: There was a statistically significant difference between the two groups in the comparison of nipple status

clinical stage

Ki-67 expression

ICAM-1 and sICAM-1 (P<0.05). The elastic strain rate and elastography score of the poor prognosis group were higher than those of the good prognosis group (P<0.05). Spearman correlation showed that clinical staging was negatively correlated with elastic strain rate (r=-0.219

P＜0.05)

Ki-67 expression was positively correlated with elastography score (r=0.322

P＜0.05); Pearson correlation showed that

ICAM-1 and sICAM-1 were positively correlated with elastic strain rate (r=0.811/0.828

P＜0.05)

and ICAM-1 and sICAM-1 were positively correlated with elastography score (r=0.782/0.850

P＜0.05). ROC curve analysis showed that elastic strain rate

elastography score

ICAM-1

sICAM-1

and AUC predicting poor prognosis of PCM patients were (0.926

0.983

0.955

0.964

P<0.05).Conclusion: Ultrasound elastography

ICAM-1

sICAM-1 and other clinical parameters have high clinical value for evaluating the prognosis of PCM patients

and can provide guidance for clinical diagnosis and treatment.

关键词

浆细胞性乳腺炎弹性成像评分弹性应变率ICAM-1sICAM-1Ki-67

Keywords

Plasma cell mastitiselastography scoreelastic strain rateICAM-1sICAM-1Ki-67

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