乳腺疑难肿块超声图像特征与术后病理诊断的比较研究  

Comparative Study of Ultrasound Image Characteristics of Difficult Breast Masses and the Postoperative Pathological Diagnosis

作　　者：张莉[1] 王军明[1] 

机构地区：[1]四川省攀枝花市攀钢集团总医院,四川攀枝花617023

出　　处：《河北医学》2014年第3期385-387,共3页Hebei Medicine

摘　　要：目的:探讨乳腺疑难肿块的超声声像图特点与病理分型的关系。方法:回顾性分析我院接受乳腺超声检查的100例发现乳腺肿物的患者的临床资料。对乳腺肿块的超声诊断和最终的病理诊断进行对比分析,总结乳腺疑难肿块的超声声像图特征。结果:乳腺肿块的病理类型的不同,其彩色超声多普勒声像特征也有相应的表现。100例患者中,良性肿块的患者有88例,占88.00%,恶性肿块的患者有12例,占12.00%,良性肿块以乳腺纤维瘤以及乳腺的囊性增生为主。而恶性肿块主要以浸润性乳腺小叶癌以及浸润性乳腺导管癌为主。超声检查对乳腺肿块的检出率为100.00%,超声诊断和病理诊断的符合率为87.00%,误诊率为13.00%。结论:乳腺彩色多普勒超声检查,具有简单易行,重复性好,无创等优点,可以作为乳腺肿块普查的重要手段,对鉴别乳腺肿块的良恶性具有重要的价值。Objective： To investigate the relationship between the ultrasound image characteristics of difficult breast masses and the postoperative pathological diagnosis .Method：The clinical data of 100 cases with breast tumor underwent breast ultrasound was retrospectively analyzed .The ultrasonographic diagnosis of breast tumors and the final pathological diagnosis were compared .Result： According to the breast tumor pathological type , the color doppler ultrasonographic characteristics also showed the corresponding perform -ance.In 100 patients, there were 88 cases of benign tumors , accounted for 88%, there were 12 cases malig-nant tumors , accounted for 12%, benign masses in breast fibroadenoma and breast cystic hyperplasia .Malig-nant tumor mainly in invasive lobular carcinoma of the breast and invasive breast ductal carcinoma .Ultra-sonography in breast tumor detection rate was 100%, the ultrasound diagnosis and pathologic diagnosis coin-cidence rate was 87%, the rate of misdiagnosis was 13%.Conc lusion：Color doppler ultrasound for diagno-sing breast twmor , with a simple , reproducible , non-invasive .

关 键 词：乳腺疑难肿块 超声图像特征 病理诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]