摘要
目的探讨彩色多普勒超声在乳腺肿块临床诊断方面的作用。方法选取2010年1月～2013年1月期间本院收治的60例乳腺肿块患者,全部分别进行二维超声、彩色多普勒超声检查、手术病理检查,回顾性比较两种超声检查和病理学检查的临床诊断资料情况。结果二维超声检查诊断恶性乳腺肿块32例,良性乳腺肿块28例,和病理学检查结果比较,恶性病例相符例数为28例,良性病例相符例数为10例;彩色多普勒超声检查诊断恶性乳腺肿块43例,良性乳腺肿块17例,和病理学检查结果比较,恶性病例相符例数为42例,良性病例相符例数为13例;二维超声检查在临床诊断乳腺肿块良恶性方面,敏感度为60.87%、特异度为71.43%、准确度为63.33%;彩色多普勒超声检查在临床诊断乳腺肿块良恶性方面,敏感度为91.30%、特异度为92.86%、准确度为93.33%。彩色多普勒超声检查在临床诊断乳腺肿块良恶性方面的敏感度、特异度、准确度上均明显优于二维超声检查,并具差异具有统计学意义(P<0.05)。结论彩色多普勒超声在乳腺肿块临床诊断方面具有重要临床价值,对于乳腺肿块的良恶性手术前判断具有重要参考意义,值得临床推广使用。
Objective To investigate the role of color doppler ultrasound in the the clinical diagnosis of breast lumps. Methods 60 patients with breast tumors from January 2010 to January 2013 of our hospital were selected,and carried out respectively by two-dimensional ultrasound,color Doppler ultrasound and surgical pathologic examination,the clinical diagnosis data of two ultrasound and pathology examination were compared retrospectively. Results In two- dimensional ultrasound diagnosis,32 cases were malignant breast tumors,28 cases were benign breast lumps,compared with the results of pathological examination,28 cases were consistent malignant cases,10 cases were consistent benign cases; in color Doppler ultrasound diagnosis,43 cases were malignant breast lumps,17 cases were benign breast lumps,compared with the results of pathological examination,42 cases were consistent malignant cases, 13 cases were consistent benign cases.The sensitivity, specificity and accuracy of two-dimensional ultrasound examination in clinical diagnosis of benign and malignancy breast lumps was 60.87%, 60.87% and 63.33%; the sensitivity,specificity and accuracy of color Doppler ultrasound examination in clinical diagnosis of benign and malignancy breast lumps was 91.30%, 91.30%, 93.33%.The sensitivity, specificity and accuracy of color Doppler ultrasound examination in clinical diagnosis of benign and malignancy breast lumps were significantly superior to two-dimensional ultrasound,there was significant difference（P 〈 0.05）. Conclusion Color Doppler ultrasound has important clinical value in clinical diagnosis of breast lumps,and has important reference significance for benign and malignant diagnosis of breast lumps,worthy of the clinical promotion.
出处
《中国医药科学》
2013年第13期119-120,139,共3页
China Medicine And Pharmacy
关键词
乳腺肿块
彩色多普勒超声
临床诊断
Breast lumps
Color Doppler ultrasound
Clinical diagnosis
