小乳腺癌的高频声像图和能量多普勒血流特征.pdfVIP

维普资讯 中国超声医学杂志2001年 第 l7卷第 7期 ChineseJUhrasoundMedVo]17 N。7 2001 499 小乳腺癌的高频声像图及能量多普勒血流特征 韩增辉 王建宏 钱蕴秋 周晓东 郭建英 朱霆 摘 要 目的：探讨小乳腺癌的高频声像图及能量多普勒血流特征，改善超声诊断乳腺肿瘤的血流学标准 方 法：对经手术病理证实的4L倒≤2cm的小乳腺癌高频声像图及能量多昔勒血流特点进行回顾性分析．与病理进行部 分对照 结果：小乳腺癌的二堆声像图特点大多属于 “中间型”．步数表现为典型 性特征；37／41(90．2 )的小乳 腺癌其能量多普勒血流具有明显形态学特征，包括穿凡性血流、折转血流与分叉血流等。另外脉冲多普勒频潜阻力指 数RI0．7及峰值的 “开叉 现象也具有很好的阳性预告意义。结论：使用高频_二维超声结合能量多普勒血流特征及 频谱多普勒可以准确地诊断小乳腺癌 关键词 乳腺癌 高频声像图 能量多普勒 TheFeaturesofHighFrequencyUltrasonograpbyandPower DopplerImaginginSmallBreastCancers HanZenghui，WangJianhong．QianYunqiu，etal XijingHospita1．FourthMilitaryMedicalUniversity，Xian 710D32 China ABSTRACT Objective：Toevaluatethefeaturesofhighfrequencyultrasonography(HFU)andpowerDoppler imaging (PDI)insmallbreastcancersinordertoimprovethebloodflow diagnosticcriteriaofthebreastneoplasmt Methods：ThefeaturesofHFU andPD1wererespectivelyanalysedin41smallbreastcancers·thebiggestdiameterof whichwasunder2cm identifiedwithpathology．Results：Mostofthe smallbreastcancersappearedasmediantypeon HFUwhilefewoneslookedliketypicalmalignantcharacteristics．Thirtysevencasesofsmallbreastcancers(37／41． 90．2 )revealedobviouscharacteristicsonPDIincludingpenetratingftexualandbifurcatedflows．Inaddition，the re_ s[stantindex (R1) O．7andthebifurcatedpeakonpulsedwaveDo ppler (PWD)ofbloodflowsinsideo1peripheral ofthetumorsimpliedmuchmorepositivemalignancyprediction．Conclusions：Highfrequencyuttrasonographyinte— gratedwithpowerDopplerimagingandpulsde waveDo pplercanbeusedfortheearlyandaccuratediagnosisofthe sma[1breastcancer． KEY W ORDS Breastcancer Highfrequencyultras。nography PowerDopplerimaging 近年来随着高频探头、彩色及频谱多普勒的广泛