彩色多普勒超声对乳腺良恶性肿块的诊断分析  

Analysis of Diagnosis in Breast Benign and Malignant Tumors with Color Doppler Ultrasonography

作　　者：张惠萍[1] 刘燕[1] 尹毅[2] 

机构地区：[1]安徽省马鞍山市人民医院超声科,243000 [2]安徽省马鞍山市人民医院外科,243000

出　　处：《中华全科医学》2009年第9期1006-1007,F0003,共3页Chinese Journal of General Practice

摘　　要：目的评价彩色多普勒超声对乳腺良、恶性肿块的诊断价值。方法采用高频超声与彩色多普勒超声的联合检查,对95例乳腺良、恶性肿块声像图特征及频谱特点进行分析,二维超声重点观察肿块形态、边界、有无包膜及钙化、内部回声;彩色多普勒超声观察血流分布及频谱特征,并与术后病理结果进行对比分析。结果经手术病理证实的乳腺良、恶性肿块患者95例(105个病灶),其中恶性53例(56个病灶),良性42例(47个病灶)。肿块的超声检出率100%(105/105)。良、恶性肿块诊断符合率分别为95.9%(47/49)和92.8%(52/56)。结论彩色多普勒超声检查对乳腺肿块良、恶性的鉴别有较高的诊断价值。Objective To evaluate the diagnostic value of breast benign and malignant tumors with Color Doppler Ultrasonography. Methods With combined examination of high frequency uhrasonography and Color Doppler uhrasonography, 95 cases of breast benign and malignant tumors were analyzed in the features of ultrasonic images and spectrum. Tumor shape, boundary, envelope, calcification and inner echo were especially adverted with 2-D uhrasonography. The blood flow distributing and spectrum were observed by Color Doppler uhrasonography and were compared with pathologic results. Results Surgical pathology confirmed that 53 cases（56 focuses found） were benign and 42 cases（47 focuses found） were malignant. The detected rate of masses was 100% （ 105/105 ）. The detected rate of benign tumors was 95.9% （47/49） , and the detected rate of malignant tumors was 92.8% （52/56）. Conclusion Color Doppler Uhrasonography has great value in differential diagnosis of breast benign and malignant tumors.

关 键 词：乳腺肿瘤 彩色多普勒超声 

分 类 号：R737.9[医药卫生—肿瘤] R445.14[医药卫生—临床医学]