彩色多普勒超声在乳腺肿块诊断及鉴别诊断中作用.docVIP

彩色多普勒超声在乳腺肿块诊断及鉴别诊断中作用【摘要】 目的 探讨彩色多普勒超声对乳腺肿块诊断和鉴别诊断的作用,提高超声检查的准确率。方法 通过彩色多普勒检查乳腺肿块的大小、形态、内部回声及血供情况,测量阻力指数(RI),对本院2005年1月至2008年12月,218例乳腺肿块的病例与其手术或穿刺病理诊断结果进行对照分析。结果 218例乳腺肿块病例中、恶性肿块82例;良性肿块136例,良性肿块中,乳腺纤维瘤54例,乳腺增生性疾病(乳腺腺病、乳腺纤维囊性增生、乳腺纤维增生)76例,乳腺囊肿3例,乳腺导管内乳头状瘤5例,误诊11例,诊断符合率为95%。结论 彩色多普勒超声对乳腺肿块性质判断,在乳腺肿块的诊断及鉴别诊断方面符合率较高,简便无创伤,具有较大的临床应用价值。 【关键词】 彩色多普勒超声; 乳腺肿块; 诊断; 鉴别诊断 Significance of color doppler ultrasonography in diagnosis and differential diagnosis of breast tumours CAI Yan,HUANG Yin,XU Yiyun,et al. 【Abstract】 Objective To evaluate Color Doppler Ultrasonography in the diagnosis and differential diagnosis of breast tumours,and improve the accuracy of ultrasound examination.Methods An analysis based on 218 breast tumours cases of surgery or puncture pathology diagnosis in our hospital,during January 2005 to December 2008.Breast tumour size,shape,internal echo,blood supply,and resistance index(RI)were estimated by Color Doppler Ultrasonography.Results Among the 218 cases,82 patients with m alignant tumour;136 with benign tumour which include 54 patients with breast fibromatosis,76 with proliferative breast disease(breast adenosis,fibrocystic breast hyperplasia,breast fibrosis),3 with breast cysts,5 with breast intraductal papilloma,11 with misdiagnosis,the diagnostic coincidence rate was 95%.Conclusion Color Doppler Ultrasonography,a simple and noninvasive method was used to determine the nature of breast tumour.it showed a higher accuracy rate at the breast tumour diagnosis and the differential diagnosis.It has great clinical application value. 【Key words】 Color doppler ultrasonography;Breast tumours;Diagnosis;Differential diagnosis DOI:10.3760/cma.j.issn2010.01.66 作者单位:524037广东省湛江中心人民医院超声影像科 各种乳腺肿块在我国的发病率逐年上升而发病年龄却趋于年青化,随着高频超声探头仪器的发展,超声诊断各种乳腺肿块的准确率有了明显提高,对于了解乳腺肿块的性质提供重要临床参考价值,利于乳腺肿块性质判断,使乳腺肿块能早发现、早诊断、早治疗。本文通过对218例乳腺肿块的二维超声图像及彩色多普勒血流特征进行分析,并与手术或穿刺病理结果进行对照研究,探讨彩色多普勒超声对乳腺肿块的诊断及鉴别诊断作用,以此加强同项交流。 1 资料与方法 1.1 一般资料 218例均经彩色多普勒超声检查