二维超声与彩色多普勒血流显像检查诊断乳腺癌的临床价值.docVIP

精品论文 参考文献 二维超声与彩色多普勒血流显像检查诊断乳腺癌的临床价值 王光辉 浏阳市中医医院 湖南浏阳 410300 【摘 要】目的 探讨二维超声与彩色多普勒血流显像（CDFI）检查诊断乳腺癌的临床价值。方法 选取我院2012年5月~2015年8月收治的130例乳腺肿块患者作为研究对象，术前均行二维超声与CDFI检查，对肿块的影像学表现与肿块内血流信号进行观察分析，将诊断结果和病理结果进行对照。结果 乳腺癌不规则形态、无包膜、毛刺状、内部回声不均匀、后方回声衰减比例明显高于乳腺良性肿瘤（Plt;0.01）；乳腺癌0~1级血流信号例数明显少于乳腺良性肿瘤（Plt;0.01）；二维超声联合CDFI诊断乳腺癌的灵敏度、特异度、准确度分别为86.84%、94.57%、92.31%。结论 二维超声与彩色多普勒血流显像检查在乳腺癌的诊断上具有较高的特异性，对良恶性乳腺肿块的鉴别诊断具有较好的应用价值。 【关键词】二维超声，彩色多普勒血流显像，乳腺癌，诊断 [Abstract] objective to study the two-dimensional ultrasound and color doppler flow imaging（of a CDFI）to check the clinical value of diagnosis of breast cancer. Methods from May 2012 to August 2015 were 130 cases of patients with breast lumps as the research object，both lines of two-dimensional ultrasound and of a CDFI examination preoperatively，imaging findings of lump and mass，the analysis of the blood flow signals were observed in the diagnosis and pathology results were compared. Results irregular form of breast cancer，no envelope，uneven burr shape，internal echo，posterior acoustic attenuation ratio significantly higher than the breast benign tumors（P lt; 0.01）；Breast cancer in 0 ~ 1 grade blood flow signals were significantly less than breast benign tumors（P lt; 0.01）；Joint of a CDFI two-dimensional ultrasonic diagnosis of breast cancer，specific degree of sensitivity，accuracy of 86.84%，94.57% and 92.31% respectively. Conclusion two-dimensional ultrasound and color doppler flow imaging examination in diagnosis of breast cancer with high specificity and the differential diagnosis of benign and malignant breast tumors has good application value. [Key words] two-dimensional ultrasound and color doppler flow imaging，breast cancer，the diagnosis 乳腺癌是由乳腺导管上皮与末梢导管上皮形成的恶性肿瘤，具统计其发病率居于女性恶性肿瘤第2位，仅次于子宫癌，部分地区已跃居首位。乳腺癌的临床治疗方法很多，具体治疗方案与疗效取决于病变程度，而乳腺癌的早期诊断对提高乳腺癌的临床治愈率、延长生存时间具有重要作用。超声检查因其具有的无创、操作简便、可重复性好、分辨率高、费用低等优点而被广泛应用于临床[1]。本研究通过分析我院近年来收治的130例乳腺肿块患者的二维声像图特征以及彩色多普勒血流显像（CDFI）特点，并将诊断结果和手术病理诊断结果进行对照，旨在探讨二维超声与CDFI检查在乳腺癌诊断中的应用效果。现报告如下。 1资料与方法 1.1 一般