高频彩超诊断乳腺肿块的临床研究  

Clinical Research on High Frequency Ultrasonographic Diagnosis of Breast Tumor

作　　者：廖桂英[1] 温赐祥[1] 

机构地区：[1]广东医学院附属医院超声科,广东湛江524001

出　　处：《河北医学》2008年第1期27-30,共4页Hebei Medicine

摘　　要：目的：探讨高频彩超检查乳腺良恶性肿块的声像图特征及诊断价值。方法：对经病理证实的乳腺良性肿块205例和恶性肿块21例的高频彩超声像图进行回顾性分析。结果：本组良性肿块占90．71％（205／226），诊断符合率为96．59％（198／205）；恶性肿块占9．29％（21／226），诊断符合率为90．47％（19／21）；恶性组彩色多普勒血流分级主要为Ⅱ～Ⅲ级，而良性组主要为0～Ⅰ级，两组具有明显的统计学差异（P〈0．05）；两组在PI和RI方面均有统计学差异（P〈0．01）。结论：高频彩超对乳腺肿块的检出率高，应用超声像图特点与CDFI、PW定量分析，综合判断，可以明显提高对乳腺良恶性肿块的诊断和鉴别诊断水平。Objective： To explore the ultrasonic features and diagnostic value of breast tumors. Method： The features of HFUS were retrospectively analyzed in 205 cases with breast benign tumors and 21 cases with malignant tumors identified with pathology. Result： In 226 breast tumors, 198 benign tumors and 19 malignant tumors were distinguished by high frequency ultrasonograph, and the diagnostic accuracy was 96.59% in the benign tumor and 90.47% in the malignant tumor; Doppler flow imaging grades were mainly Ⅱ -Ⅲ in the malignant tumors and were mainly 0 - Ⅰ in the espbenign tumors, There were significantly different （ P 〈0.05） ;between two groups in PI and RI（ P 〈 0.01）. Conclusion： The detection rate of HFUS was very high. Using sonogram, CDFI, PW quantitative analysis and comprehensive judgement may improve the diagnosis and differential diagnosis of breast tumors.

关 键 词：高频彩超 乳腺肿块 病理 

分 类 号：R445.1[医药卫生—影像医学与核医学]