超声造影在乳腺良恶性肿瘤鉴别诊断中的价值  

Significance of Contrast-enhanced Ultrasonography in Differential Diagnosis of Benign and Malignant Breast Tumors

作　　者：沈红梅[1] 陈兰[1] 邱识博[1] 

机构地区：[1]吉林省延边大学附属医院影像二科,吉林延吉133000

出　　处：《中国民族民间医药》2012年第17期73-74,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:探讨超声造影对乳腺良恶性肿瘤的鉴别诊断价值。方法:对55例乳腺肿瘤的患者行二维及彩色多普勒超声检查后,用声诺维SonoVue造影剂进行超声造影检查,记录并分析造影灌注过程。结果:恶性组不均匀增强占86.4%(19/22),良性组不均匀性增强占15.2%(5/33),恶性组高增强占68.2%(15/22),良性组高增强占9.1%(3/33),恶性组以快进慢退为主(16/22),良性组以慢进快退为主(16/30),恶性组不均匀增强明显大于良性组,恶性组高增强明显大于良性组,两者之间的差异有显著性意义(P<0.05)。结论:超声造影对乳腺肿瘤的诊断提供了更多的信息,提高了诊断的准确率,对于良恶性的鉴别有重要价值。Objective： To explore the value of contrast - enhanced ultrasonography in the differentialdiagnosis between benign and malignant breast tumore. Methods： 55 cases of breast tumors were examined by two - dimensional and color Doppler ultrasonography before operation~ Following the contrast - enhanced ultrasound with contrast agent Sonovue and the perfusion record was analyzed. Results： Inhomogeneous enhancement was in 86.4% （19/22masses） in the malignant group and was 15.2%, （5/33） in the be- nign group ; hyper - enhancement was in 68. 2% （ 15/22masses ） in the malignant group and was 9. 1%, （ 3/33 ） in the benign group; ＂fast in and slow out ＂ in the most malignant group （16/22）, and ＂slow in and fast out＂ In the most benign group （16/30） The hyper and inhomogeneous enhancement of the malignant group was higher than that of the benign group. Conclusions： Contrast -enhanced ultrasonography may provide exact information for the differential diagnosis of benign and malignant breast tumors and be helpful for the differentiation.

关 键 词：超声检查 造影剂 乳腺肿瘤 

分 类 号：R737.9[医药卫生—肿瘤]