乳腺占位病变患者行B超与病理诊断的价值评估  

Evaluation of B-ultrasound diagnosis for patients with breast space occupying lesions

作　　者：张万莉[1] 罗勇[2] Zhang Wanli(Ultrasound B Diagnosis Room, Zunyi First people＇s Hospital, Zunyi 563000, Chin)

机构地区：[1]贵州省遵义市第一人民医院B超诊断室,563000 [2]贵州省遵义市第一人民医院神经内科,563000

出　　处：《齐齐哈尔医学院学报》2018年第2期144-146,共3页Journal of Qiqihar Medical University

摘　　要：目的评估乳腺占位病变患者行B超与病理诊断的价值。方法选择2015年6月—2017年6月期间本院收治的乳腺占位病变患者50例,50例患者均因乳房肿块或疼痛入院接受常规B超检查,同时经过病理活检确诊,比较B超诊断结果与病理结果,分析两者诊断价值。结果 50例乳腺占位病变患者经B超诊断后显示,良性病变46例,恶性病变4例,而病理检查结果显示良性病变45例,恶性病变5例。B超诊断有1例出现误诊,诊断符合率为98.00%(49/50)。乳腺占位病变良性病变的B超检查显示,肿块形态较规则,主要为椭圆形或叶状,肿块边缘光滑完整,肿块内部的回声均匀,肿块后方回声减弱几率少,肿块内部未见钙化,患者腋窝淋巴结肿未见明显肿大,共占92%(46/50)。乳腺占位病变恶性病变的B超检查显示,肿块呈不规则形,肿块边缘不完整(模糊、成角、细分叶、毛刺),肿块后方回声衰减明显,肿块内部回声不均匀,肿块内部有钙化。患者中,影像学方面,肿块内部钙化、肿块纵横比大于1、患者腋窝淋巴肿大等病例的比例明显增高,差异有统计学意义(P<0.05)。结论 B超诊断乳腺占位病变具有诊断方便、无创等特点,诊断符合率高,可作为乳腺占位性病变的诊断方式之一在临床推广。Objective To evaluate the value of B-mode ultrasonography and pathological diagnosis in patients with breast space occupying lesions. Methods 50 patients with breast occupying lesions were selected,the patients with breast lump or pain after receiving routine ultrasound examination,at the same time after surgery and pathological diagnosis,ultrasound diagnosis and pathological results,the diagnostic value analysis. Results50 cases of breast space occupying lesions showed 46 cases of benign lesions and 4 cases of malignant lesions after ultrasound diagnosis,while pathological examination showed 45 cases of benign lesions and 5 cases of malignant lesions. 1 case of B-ultrasound diagnosis was misdiagnosed,and the diagnostic coincidence rate was 98%(49/50）. Breast ultrasound examination for lesions of benign lesions showed that the masses had regular shape,the main oval or lobulated mass,with smooth boundary,internal echo mass uniform mass behind the echo attenuation less likely,the tumor mass without calcification,no obvious swollen axillary lymph node enlargement patients accounted for 92%(46/50）. Breast ultrasound examination accounted for lesions of malignant lesions showed that the tumor shape is very irregular,mass boundary is fuzzy shadow,smooth masses echo weakened obviously,mass uneven internal echo,tumor calcification in serious patients,imaging,tumor calcification,mass,aspect ratio more than 1 patients with axillary lymph nodes the proportion of cases increased significantly,the difference was statistically significant(P〈0. 05）. Conclusions B-mode ultrasonography is a convenient and noninvasive diagnostic method for breast masses. It has high diagnostic accuracy,which can be used as a diagnostic modality for breast occupying lesions in clinical practice.

关 键 词：乳腺占位病变 B超 诊断 

分 类 号：R583[医药卫生—内分泌]