用声象图区分良恶性乳腺病灶的探讨  

EQUIVOCAL SONOGRAPHY OF BREAST LESIONS

作　　者：华秀云[1] 茅蓉[1] 杨永明 

机构地区：[1]上海医科大学华山医院超声波室

出　　处：《上海医科大学学报》1996年第1期13-15,共3页Journal of Fudan University(Medical Science)

摘　　要：旨在分析乳腺病灶声象图的特征，以压缩中间型（不能区分良恶性）的声象图诊断。将２８３例经手术和病理证实的乳腺病灶的声象图，按１０个征象标准，分归五类不同的诊断级：Ａ级肯定良性；Ｂ级倾向良性；Ｃ级良、恶性无法区别；Ｄ级倾向恶性；Ｅ级肯定恶性。重点分析Ｃ级的２３例声象图。结果：提出完整的包膜回声线是良性病灶的主要征象；而边缘不规则、毛刺，不均质低回声和衰减则是恶性病灶的三个特征。结论：熟悉各类病变独有的声象图特征；对彩色多普勒血流图恰当的评价；分析时抓住主要征象，就能减少中间型声象图的诊断。PURPOSE The aim was to impact the intermediate(equivocal)sonograph of breast lesions by their mamographic appearances.METHODS Each sonography of the two hundred and eightythree breast lesions, which confirmed by operation and histopathology, was assessed on a scale of one to five: arespresented benign; probable benign; equivocal; probably malignant; respresented malignant. This article focused on intermediate (equivocal) sonography of 23 cases as C scale.RESULTS A thin echogenic capsule is the main feature of benignity, and several features indicate cancer: spiculate margins, heterogeneous hypoechogenicity; attenuation with shadow.CONCLUSIONS The equivocal sonography of breast lesions will have the biggest impact and polarizing them into prodominatly benign or malignant by high quality scanner and based on:①familiarized the unique textures of lesions; ②evaluated the role of color doppler flow image properly; ③accurately methods of analysis.

关 键 词：声象图 超声波诊断 乳腺肿瘤 

分 类 号：R737.904[医药卫生—肿瘤]