乳腺良恶性肿块的高频彩色多普勒血流频谱形态鉴别分析  

Analysis of Color Doppler Blood Stream Spectrum Form in Distinguishing Between Benign and Malignant Breast Lumps

作　　者：孙杰[1] 明睿 

机构地区：[1]长春市人民医院电诊科,吉林长春130051

出　　处：《中外医疗》2015年第32期192-193,共2页China & Foreign Medical Treatment

摘　　要：目的探讨高频彩色多普勒血流频谱形态对鉴别乳腺良恶性肿块的诊断价值。方法整群选取于2014年7月—2015年6月入住该院的乳腺肿块患者97例,按病理结果分为乳腺癌患者33例,乳腺纤维瘤患者31例,乳腺增生患者33例,对各组高频彩色多普勒图谱形态进行分析。结果乳腺癌组收缩期峰值前移22例(66.67%),舒张期末期为反向血流或者无血流25例(75.76%);乳腺纤维瘤组收缩期峰值居中26例(83.87%),舒张期末期为同向血流23例(74.19%);乳腺增生组收缩期峰值居中27例(81.82%),舒张期末期为同向血流24例(72.73%)。3组的收缩期峰值时段、舒张期末期血流分别比较,P<0.05,统计学处理后差异有统计学意义。结论高频彩色多普勒血流频谱形态对鉴别乳腺良恶性肿块的具有较高的诊断价值。Objective To evaluate the clinical value of Color doppler blood stream spectrum form in the diagnosis of be-nign and malignant breast lumps. Methods 97 patients with breast lumps admitted to this hospital from July 2014 and June 2016 were divided into breast cancer group （n=33）, breast adenofibroma group （n=31）, and breast hyperplasia group （n=33）. The color doppler blood stream spectrum form of each group was analyzed. Results In the breast cancer group, peak systolic velocity was forward in 22 patients（66.67%）, backward blood or no blood flow at the end of diastole occurred in 25 patients （75.76%） ; in the breast adenofibroma group , peak systolic velocity was moderate in 26 patients （83.87%）, cocurrent flow at the end of diastole occurred in 23 patients （74.19%）;in the breast hyperplasia group, peak systolic velocity was moderate in 27 patients （81.82%）, cocurrent flow at the end of diastole occurred in 24 patients （72.73%）. There were statistically significant differences in time period of peak systolic velocity, blood flow at the end of diastole between the three groups, （P〈0.05）. Conclusion The clinical value of Color doppler blood stream spectrum form in the diagnosis of benign and malig-nant breast lumps is high.

关 键 词：乳腺肿块 高频彩色多普勒超声 二维超声 

分 类 号：R445[医药卫生—影像医学与核医学]