高频彩色多普勒超声与钼靶X线诊断乳腺导管内乳头状瘤的临床价值分析  

Analysis of Clinical Value of High Frequency Color Doppler Ultrasonography and Mammography in the Diagnosis of Breast Intraductal Papilloma

作　　者：冯华 FENG Hua(Department of Ultrasound,Zhangjiagang Hospital Affiliated to Suzhou University,Zhangjiagang,Jiangsu Province,215600 China)

机构地区：[1]苏州大学附属张家港医院超声科,江苏张家港215600

出　　处：《世界复合医学》2022年第3期89-93,共5页World Journal of Complex Medicine

摘　　要：目的 探究高频彩色多普勒超声与钼靶X线对诊断乳腺导管内乳头状瘤的临床价值。方法 回顾性分析2016年7月—2021年9月经临床手术确诊乳腺导管内乳头状瘤的76例患者,均进行高频彩色多普勒超声与钼靶X线诊断,分析比较76例患者两种方法单独应用与联合应用的诊断准确率,以临床手术病理结果为金标准,并分析两者诊断乳腺导管内乳头状瘤的影像特点。结果 以临床手术病理结果为金标准,高频彩色多普勒超声诊断导管内乳头状瘤的准确率为82.89%,差异有统计学意义(χ^(2)=11.077,P<0.05),钼靶X线的诊断准确率为71.05%,差异有统计学意义(χ^(2)=20.045,P<0.05),高频彩色多普勒超声结合钼靶X线的诊断准确率为93.42%,差异无统计学意义(χ^(2)=3.309,P>0.05)。彩超诊断乳腺导管内乳头状瘤的影像学表现有内部低中回声的实性肿块,内部回声不均的囊实性肿块,导管内有低或中等回声的实性结节,囊性肿块,明显的导管扩张等;钼靶影像学可见导管扩张、导管肿瘤、微小结节钙化等。结论 高频彩色多普勒超声诊断导管内乳头状瘤准确率高于钼靶X线检查,但彩超与钼靶X线对诊断乳腺导管内乳头状瘤各有优势,两者互补,具有更高的诊断价值。Objective To explore the clinical value of high frequency color Doppler ultrasound and mammography in the diagnosis of breast intraductal papilloma. Methods A retrospective analysis of 76 patients with intraductal papilloma diagnosed by clini-cal surgery from July 2016 to September 2021 was performed. High-frequency color Doppler ultrasound and mammography were used for diagnosis. The diagnostic accuracy rates of the two methods alone and in combination were analyzed and compared in these 76 patients, and the pathology results of clinical operations was the gold standard. The imaging features of the two in the diagnosis of intraductal papilloma were analyzed. Results Taking clinical surgical pathology results as the gold stan-dard, the accuracy rate of high-frequency color Doppler ultrasonography in diagnosing intraductal papilloma was 82.89%, the difference was statistically significant(χ^(2)=11.077,P<0.05). The diagnostic accuracy of mammography was 71.05%, the difference was statistically significant(χ^(2)=20.045, P<0.05). The diagnostic accuracy of high-frequency color Doppler ultrasound combined with mammography was 93.42%, the difference was not statistically significant(χ^(2)=3.309, P>0.05). The imaging findings of color Doppler ultrasound in the diagnosis of intraductal papilloma were as follows: internal solid mass with low and medium echo,cystic solid mass with uneven internal echo, solid nodule with low or medium echo in the duct, cystic mass, obvious duct di-latation, etc. Mammographic imaging shows: ductal dilatation, ductal tumor, calcification of tiny nodules, etc. Conclusion The accuracy of high frequency color Doppler ultrasound in the diagnosis of intraductal papilloma is higher than that of molybdenum target X-ray, but color Doppler ultrasound and molybdenum target X-ray have their own advantages in the diagnosis of breast intraductal papilloma. They complement each other and have higher diagnostic value.

关 键 词：乳腺钼靶 高频彩色多普勒 乳腺导管内乳头状瘤 诊断价值 

分 类 号：R737.9[医药卫生—肿瘤]