摘要
目的:辨析乳腺实性肿块的二维超声图像及血供特征,旨在提高乳腺实性占位良恶性诊断的准确率。方法首先观察并触诊双乳,再行超声检查,包括乳腺引流区域的淋巴结。重点观察并记录病灶的二维声像图表现,彩色多普勒观察肿块周边、内部血流情况及血流阻力指数的特征并与手术病理或细胞学检查对照。结果乳腺恶性肿瘤29例(30个),其中浸润性乳腺癌24例,占乳腺恶性肿瘤的80%;良性肿块23例(25个),其中乳腺纤维瘤18例(20个),占乳腺良性肿块的80%。良、恶性肿块超声与病理对照比较,肿块形态、边界、边缘形状、内部钙化、后方回声衰减、肿块纵横比、肿块内部和周边血流信号及血流阻力指数,其差异有统计学意义。结论高频彩色多普勒超声对乳腺癌有较高的诊断价值,对乳腺实性占位良恶性的辨析有甄别作用。
Objective In order to improve the accuracy of location diagnosis of benign and malignant solid breast,the characteristics of two-dimensional ultrasound images and the blood of solid breast masses are differentiated and analysed.Methods 52 female patients with solid breast tumors(55 masses),the first observation and palpation double breasts,and examined by ultrasound,including breast and regional lymph drainage.The key point are observation and 2-D ultrasound recording images of the lesions,and observation the characteristics of tumor surrounding,internal blood flow and blood flow resistance index(RI)by the color Doppler.Ultrasound parameter And compared with operation pathology or cytology.Results Breast malignant tumor in 29 cases(30 masses),of which 24 patients with invasive breast cancer,breast cancer accounted for 80%;Benign breast masses in 23 cases(25 masses),including 18 cases of mammary gland fibroma(20),80%of benign breast masses;The benign and malignant breast tumors were significantly dif erent in irregular shapes,the boundary not clear,edge burr shape,internal calcification,posterior echo at enuation,mass aspect ratio≥1,the inside of the masses and the surrounding blood flow signals RI,the dif erence was statistical y significant.Conclusion High-frequency color Doppler ultrasound diagnosis of breast cancer have a higher value,Analysis of malignant breast have good solid mass screening ef ect.
作者
单彦琴
王燕红
刘梅生
陈芬
杨素侠
包小妹
SHAN Yan-qin;WANG Yan-hong;LIU Mei-sheng;CHEN Fen;YANG Su-xia;BAO Xiao-mei(Department of Functional Examination,Huaibei People's Hospitali,Huaibei 235000,Anhui,China)
