摘要
目的:对彩色多普勒超声在乳腺良、恶性肿瘤鉴别诊断中的价值进行分析。方法:选本院2017年1月-2018年6月收治的乳腺肿瘤患者60例进行彩色多普勒超声检查,对肿瘤性质进行判断。以病理结果为依据,对彩色多普勒超声检查结果准确性进行评价分析,并总结分析乳腺良、恶性肿瘤声像图特征。结果:本组患者中,病理结果证实为恶性肿瘤患者15例,良性肿瘤患者45例。经彩色多普勒超声检查,检出恶性肿瘤14例,良性肿瘤46例,病理与彩色多普勒超声检查结果比较,差异无统计学意义(P>0.05)。恶性肿瘤超声声像图表现出边界模糊、形态不规则、周边存在显著血流信号、内部回声错杂等,并且存在皮肤浸润征象。良性肿瘤超声声像图表现为肿块呈现椭圆形或圆形,边界清晰,表面光滑,可观察到明显包膜,内部存在明显低回声,回声均匀。结论:乳腺肿瘤经彩色多普勒超声检查进行诊断、鉴别的准确性高,临床价值显著,值得关注并推广。
Objective:To analyze the value of color Doppler ultrasound in the differential diagnosis of benign and malignant breast tumors.Method:60 cases of breast tumors admitted to our hospital from January 2017 to June 2018 were selected for color Doppler ultrasonography to determine the nature of the tumor.Based on the pathological results,the accuracy of the results of color Doppler ultrasonography were evaluated and analyzed.Result:Among the patients in this group,15 cases were confirmed as malignant tumor and 45 cases were confirmed as benign tumor.14 malignant tumors and 46 benign tumors were detected by color Doppler ultrasonography,and the difference was not statistically significant(P>0.05).The ultrasonographic images of malignant tumors showed blurred boundaries,irregular shape,significant blood flow signals,mixed internal echoes,and other signs of skin infiltration.The ultrasonography of benign tumor showed that the mass was oval or round,with clear boundaries and smooth surface,with obvious envelop and obvious hypoecho inside,the echo was even.Conclusion:The diagnostic accuracy of color Doppler ultrasonography in breast tumors is high,and its clinical value is remarkable.
作者
黎向阳
罗菊香
LI Xiangyang;LUO Juxiang(Xinyu City People’s Hospital,Xinyu 338000,China)
出处
《中国医学创新》
CAS
2018年第30期50-53,共4页
Medical Innovation of China
基金
新余市科技计划项目(20153090808)
关键词
彩色多普勒超声
乳腺疾病
良性肿瘤
恶性肿瘤
鉴别
Color Doppler ultrasound
Breast diseases
Benign tumors
Malignant tumors
Differentiation
