超声造影剂不同注射方法对乳腺癌前哨淋巴结定性诊断价值的对比的研究

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1、NingxiaMedicalUniversityThesisforApplicationofMaster’sDegreeComparativestudytheValueofContrast-enhancedUltrasoundbydifferentinjectionmethodinQualitativediagnosisofSentinelLymphNodesinBreastCancerStudent’sName:SunYanjuanSupervisor：MiChengrongProfessorSubjectCategory:MedicineMajor:Rad

2、iologyandNuclearMedicineSpecialty:UltrasonographySchool:ClinicInstiuteCompletionDate:Apr.2012I宁夏医科大学学位论文独创性声明本人郑重声明：所呈交的学位论文，是个人在导师的指导下，独立进行研究工作所取得的成果，无抄袭及编造行为。除文中已经特别加以注明引用的内容外，本论文不含任何其他个人或集体已经发表或撰写过的作品成果。对本文的研究做出重要贡献的个人和集体，均已在文中以明确方式标明并致谢。本人完全意识到本声明的法律结果由本人承担。论文作者签名＿＿＿＿＿论文导师签名＿＿＿年

3、月日年月日宁夏医科大学关于学位论文使用授权的声明宁夏医科大学有权保留使用本人学位论文，同意学校按规定向国家有关部门机构送交论文的复印件和电子版，允许被查阅和借阅。本人授权宁夏医科大学可以将本学位论文的全部或部分内容编入有关数据库进行检索，可以采用影印、缩印或其他复印手段保存和汇编本学位论文。可以公布（包括刊登）论文的全部或部分内容。（保密论文在解密后应遵守此规定）论文作者签名＿＿＿＿＿论文导师签名＿＿＿＿＿年月日年月日II目录摘要·······························································1中英

4、文缩略词·······················································5前言·······························································6材料与方法·························································10结果······························································14讨论·························

5、······································19结论·······························································27参考文献···························································28综述·······························································33综述的参考文献·····································

6、················39致谢·······························································42研究生在读期间发表的论文···········································43个人简历···························································44III宁夏医科大学硕士研究生学位论文摘要超声造影剂不同注射方法对乳腺癌前哨淋巴结定性诊断价值的对比研究摘要目的比较经静脉注射与经皮下注射超声造影剂Son

7、oVue检查人乳腺癌前哨淋巴结(SLN)并对其进行定性诊断的价值，以期找到一种合适并高效的注射方法对乳腺癌腋窝淋巴结进行研究。方法第一步：对52例临床疑似乳腺癌的患者，先行经左侧肘静脉注射的超声造影(CEUS)，观察并记录同侧腋窝引流引流区域内SLN的超声造影增强情况，包括淋巴管开始增强时间(AT)、增强模式、增强SLN的个数及部位，并在体表对增强的SLN进行标记；第二步：同一位患者，在确定第一步造影过程观察完全结束后，爆破第一次注射的造影剂，再次经肿物周边皮下3、6、9、12点4个方向分别注射超声造影剂SonoVue0.5ml，观察并记录同侧腋窝SLN的增强

8、情况，同时对比两次超声造影SLN的增强