摘要
目的探讨对比增强超声造影(CEUS)对乳腺不典型肿块的诊断价值。方法回顾性分析122例患者乳腺不典型肿块CEUS和常规超声(CUS)图像,观察肿块内部血管构筑模式,并与病理结果对照。结果乳腺良性肿块血管构筑呈均匀团状或无血管,恶性肿块血管构筑以枯枝状、蟹爪样、根须样、团状伴灌注缺损为主。CEUS诊断乳腺不典型肿块的准确率、敏感性、阴性预测值均优于CUS(P<0.05),CUS联合CEUS诊断准确率达88.5%(108/122)。结论 CEUS能客观显示乳腺不典型肿块内部血管构筑模式,简便易行。
Objective To evaluate the diagnostic value of contrast-enhanced ultrasound（CEUS）in the patients with atypical breast lumps.Methods Images of CEUS and conventional ultrasound（CUS）of 122patients with atypical breast lumps were retrospectively analyzed.Vascular architecture patterns inside the lumps were observed and compared with pathology results.Results Vascular architecture patterns of benign lumps were homogeneously mass-like or without blood vessels,while those of malignant lumps were deadwood-like,crab leg-like,root-like and bulk-like with perfusion defect.Diagnostic accuracy rate,sensitivity and negative predictive value of CEUS were better than those of CUS（P〈0.05）.Accuracy rate of CUS combined with CEUS in the diagnosis of atypical breast lumps was 88.5%（108/122）.Conclusion CEUS is convenient and operable in displaying objectively the vascular architecture patterns inside atypical breast lumps.
出处
《江苏医药》
CAS
北大核心
2014年第13期1559-1561,共3页
Jiangsu Medical Journal
