二维、彩色与超声造影对乳腺旋切术效果评价的对照研究  

The contrasting research of evaluation the theraputical effect of ultrasound-guided mammotome minimal invasive system by 2D,color and contrast-enhanced ultrasound

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作  者:杨志伟[1] 姜凯辉[1] 张蔚[1] 郝玉兰[1] 周奇文[2] 张宏宇[1] 焦春宇[1] 

机构地区:[1]齐齐哈尔医学院附属第十医院大庆油田总医院超声科,黑龙江大庆163001 [2]齐齐哈尔医学院附属第十医院大庆油田总医院圣康公司

出  处:《中国民康医学》2008年第14期1671-1672,1528,共3页Medical Journal of Chinese People’s Health

摘  要:目的:探讨二维、彩色与超声造影在评价乳腺旋切术效果中的价值。方法:将36个超声诊断为良性的拟做乳腺旋切术的乳腺小肿块(直径0.5~2.5cm),术前、术后分别用二维、彩色多普勒及造影剂增强超声检查,判断病灶切除效果。结果:36个乳腺肿块注射造影剂前后灰阶强度平均值差异不显著(P〉0.05)。注射造影剂前后血管像素密度有显著差异(P〈0.01)。造影剂增强后彩色多普勒与普通二维及彩色多普勒在肯定旋切术是否完全切尽肿块上有显著差异(P〈0.05)。结论:注射造影剂后再以彩色血流信号观察乳腺肿块确实能使肿块的确切范围更加清楚,解决了旋切术的关键问题。To evaluate the theraputical effect of Ultrasound-guided Mammotome minimal invasive system by 2D(2- DIMEN-SIONAL) ,color Doppler and contrast-enhanced ultrasound. Methods: A total of 36 breast small mass (diameter 0.5 - 2.5cm) that would be treated by Ultrasound-guided Mammotome minimal invasive system were diagnosed to benign by sonography. Chiefly to examine them by 2D,color Doppler and contrast-enhanced ultrasound preoperatively, then to be treated by Ultrasound-guided Mammotome minimal invasive system. Postoperatively, to be examined by 2D, color Doppler and contrast-enhanced ultrasound in order to judge the effect of excision . Results:The difference in the gray-scale intension had no significant difference before and after intravenous contrast media (P〉0.05). The difference of microvessel density had significant difference before and after intravenous contrast media(P〈0.01). Compared to 2D and color Doppler, it had significant difference that was confirmed to whether to remove lesion completely by the color Doppler after contrast-Enhanced ultrasound( P〈0.05). Conclusion: After contrast-enhanced uhrasound, then to observe the breast mass with the color Doppler,it make the mass's extent more precise and then the key question of operation was solved.

关 键 词:超声检查 乳腺肿块 造影剂 乳腺旋切术 

分 类 号:R445.1[医药卫生—影像医学与核医学]

 

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