乳腺肿块彩色多普勒超声图像特征及病理分型比较研究.docVIP

乳腺肿块彩色多普勒超声图像特征及病理分型比较研究【摘要】目的探讨彩色多普勒超声图像特征与病理分型的关系。方法回顾分析了我院192例乳腺肿块患者的彩色多普勒超声检查资料,并将其声像图特征与病理分型进行比较。结果乳腺肿块的彩色多普勒超声图像特征有不同的分型,且各型之间有不同的病理结构。在所有乳腺肿块中,良性肿块171例,占89?1%,以囊性增生和纤维瘤多见。另外恶性肿瘤有21例,占10?9%,以浸润性导管癌和浸润性小叶癌多见。彩色多普勒超声对乳腺肿块的检出率为100%,临床诊断与病理结果的符合率为87?5%,误诊率为12?5%。结论彩色多普勒超声对乳腺肿块的普查有肯定的诊断价值，对乳腺良恶性病变的鉴别诊断有重要价值。 【关键词】乳腺肿块;多普勒，超声;病理对照 Comparative analysis of color doppler ultrasonic wave type and pathohistologic studies in breast masses LV Bin.Department of Ultrasonic, The first Peoples Hospital of Jining City,Shandong 272111, China 【Abstract】ObjectiveTo explore the association between color doppler ultrasonic wave type and pathological tissues types in breast masses? Methods192 patients with breast masses was reviewed to comparatively analyze color doppler ultrasonic data and pathohistologic studies? ResultsThe changes of color doppler ultrasonic had their respective type and the structure of the pathology was various on breast masses? In 192 patients with breast masses, tumor benignity accounted for 89?1% with the cystic proliferation and the fibroma as the most? The m alignant tumor accounted for 10?9%? The incidence rate was high with invasive ductal carcinoma and the invasive lobular carcinoma? The positive rate of color doppler ultrasonic was 100%, the coincidence rate with pathology was 87?5%, misdiagnostic rate was 12?5%? ConclusionThe color doppler ultrasonic has the affirmative diagnostic value to the breastmasses, it has great differential diagnostic value in m alignant and benign breast tumors. 【Key words】Breast masses; Doppler; Ultrasonic; Pathohistologic studies 作者单位：272111山东省济宁市第一人民医院超声科乳腺肿块是女性的常见病和多发病，乳腺疾病的彩色多普勒超声检查简便、直观、无创且重复性好，已被广泛应用于乳腺体检和几乎所有的乳腺疾病［1］。本文对192例经过手术病理证实的乳腺肿块的彩色多普勒超声图像和病理资料进行对照分析，旨在进一步提高诊断准确率。揭示超声对良、恶性病变的鉴别诊断中的优势，为超声医师和临床医师提供参考。 1资料与方法 1?1一般资料收集2009年1月至2010年12月我院收治乳腺肿块患者 192例,全部为女性,年龄19～75岁，平均 (49?2±9?5)岁。所有病例的定性诊断均经手术或穿刺病理证实。 1?2仪器与方法使用我院PHILIPSIU 22彩色多普勒超声诊断仪,线阵变频探头,频率为7～10 MHz。采用直接探查法,患者仰卧位,充分暴露双侧乳腺, 在乳腺各象限做纵、