摘要
目的分析高频多普勒超声诊断乳腺疾病的临床价值。方法回顾分析本院2014年1月~2016年12月收治100例乳腺疾病患者的临床资料及高频多普勒超声特点,其中恶性肿瘤25例(设为A组),良性肿瘤75例(设为B组),比较两组患者的彩色多普勒超声结果及其图像特征。结果 A组25例,术后病理证实浸润性导管癌10例,小叶癌8例,髓样癌4例,导管内癌、原位癌、黏液癌各1例;B组75例,术后病理证实纤维腺瘤32例,良性增生16例,乳腺囊肿10例,脂肪瘤8例,乳腺炎5例,乳头状瘤4例。高频超声诊断良性肿瘤71例,准确率为94.7%;诊断恶性肿瘤24例,准确率为96.0%;总准确率为95.0%。高频超声声像图显示,A组腺体致密、微小钙化、边界缘毛刺、肿块影特征的发生率明显高于B组,比较差异有统计学意义(P<0.05)。A组25患者中,检测丰富血流信号16例;B组75患者中,检测少量血流信号12例;A组血流信号检出率较高,B组血流信号检出率较低。恶性肿瘤内部血流信号多为II^III级,占68.0%(17/25);良性肿瘤内部血流信号多为0~I级,占82.7%(62/75)。100例乳腺疾病患者中,检出动脉血流频谱30例,其中良性肿瘤10例,恶性肿瘤20例,恶性肿瘤收缩期峰值流速(Vmax)、阻力指数(RI)均高于良性肿瘤。结论高频多普勒超声检查乳腺疾病的准确率高,可对乳腺良、恶性肿瘤进行鉴别,因此具有较高的临床价值。
Objective To analyze the clinical value of high frequency Doppler ultrasonography in the diagnosis of breast diseases. Methods The clinical data and high frequency Doppler ullrasonography were analyzed retrospectively from January 2014 to December 2016. There were 25 malignancies （group A）, 75 cases of benign tumor And the color Doppler ultrasonography and image characteristics of the two groups were compared. Results A group of 25 patients, pathology confirmed invasive ductal carcinoma in 10 cases, 8 cases of lobular carcinoma, medullary carcinoma in 4 cases, intraductal carcinoma, carcinoma in situ, mutinous carcinoma in 1 case; B group of 75 cases, postoperative Pathology confirmed fibroid adenoma in 32 cases, benign hyperplasia in 16 cases, breast cysts in 10 cases, lipoma in 8 cases, 5 cases of mastitis, papilloma in 4 cases. High- frequency ultrasound diagnosis of benign tumors in 71 cases, the accuracy rate of 94.7%; 24 cases of malignant tumors, the accuracy rate of 96.0%; the total accuracy rate of 95.0%. High frequency ultrasonography showed that the incidence of glandular density, microcalcification, borderline burr and mass in group A was significantly higher than that in group B （P 〈0.05）. A group of 25 patients, the detection of rich blood flow signal in 16 cases; B group of 75 patients, a small amount of blood flow detection 12 cases; A group of high blood flow detection rate, B group blood flow detection rate is low. The internal blood flow signal of malignant tumor was II-III grade, accounting for 68.0% （17/25）. The internal blood flow signal of benign tumor was 0-I grade, accounting for 82.7% （62/75）. Among the 100 cases of breast disease, 30 cases of arterial blood flow were detected, including 10 cases of benign tumor, 20 cases of malignant tumor, peak systolic veloeity （Vmax） and resistance index （RI） of malignant tumor were higher than benign tumors. Conclusion High frequency Doppler ultrasonography has high accuracy of breast disease and can be used to identify mammary gland benign and malignant tumors accurately, so it has high clinical value.
出处
《当代医学》
2018年第7期66-68,共3页
Contemporary Medicine
关键词
高频超声
彩色多普勒
乳腺疾病
High frequency ultrasound
Color Doppler
Breast disease
