乳腺肿块超声特征与病理对照分析.docVIP

乳腺肿块的超声特征与病理对照分析 　　[摘要] 目的 分析乳腺肿块超声图像特征，旨在提高超声检查对乳腺肿块定性及定位诊断的准确性，尤其是对乳腺肿块良、恶性的鉴别诊断。 方法 对经病理证实的867例乳腺肿块的超声图特征进行回顾性分析，重点观察肿块的部位、形态、边缘、纵横比、内部回声、微钙化、病灶后方回声、肿块内部及周边的血流分布及腋窝淋巴结大小等情况。 结果 867病例中良性 761例，占87.8%，恶性106例，占12.2%；与病理诊断平均符合率为90.4%（其中乳腺癌符合率为93.4%）。良、恶性肿块的超声声像图及彩色多普勒指标比较，差异有高度统计学意义（P 0.01）。 结论 超声诊断是乳腺良、恶性肿块的首选检查方法，可早发现、早诊断、早治疗，对降低乳腺癌的死亡率具有重要意义。 　　[关键词] 乳腺肿块；超声特征；病理 　　[中图分类号] R737.9 [文献标识码] B [文章编号] 1673-9701（2013）25-0069-03 　　Comparative analysis of ultrasonography and pathology in breast masses 　　ZHANG Li YE Li’e CHEN Teng CHEN Jie CHEN Fengmei 　　Department of Ultrasonography，Fujian Traditional Chinese Medicine University Affiliated Xiamen Hospital of Traditional Chinese Medicine，Xiamen 361009， China 　　[Abstract] Objective To explore the ultrasonographic features of breast masses， in order to improve the accuracy of ultrasonography in qualitative diagnosis and localization of breast masses， especially the identification of breast lumps benign， malignant. Methods The characteristics of 867 cases of breast masses confirmed by pathology ultrasound were retrospectively analyzed.Tumor location， shape， edge， aspect ratio， internal echo， calcification， posterior echo mass lesions， internal and peripheral blood flow distribution and axillary lymph node size were emphatically observed. Results In 867 cases，761 cases were benign， accounted for 87.8%，106 cases were malignant， accounted for 12.2%. Compared with the pathological diagnosis， the average coincidence rate was 90.4%（including breast cancer coincidence rate was 93.4%）.There was statistical significance of ultrasonography and color Doppler of benign， malignant mass index were compared （P 0.01）. Conclusion Ultrasound diagnosis has become the preferred method of examination in benign， malignant breast masses.Ultrasound can early discovery， early diagnosis and has the vital significance to reduce breast cancer mortality. 　　[Key words] Breast tumor；Ultrasound features；Pathology 　　随着生活水平的提高，人们对健康需求越来越重视，而近年来乳腺疾病