彩色多普勒超声在乳腺癌诊断中应用.docVIP

彩色多普勒超声在乳腺癌诊断中应用 　　[摘要] 目的 分析乳腺癌应用彩色多普勒超声诊断的临床诊断特征。 方法 选取来我院受检的乳腺癌疑似患者166例，全部给予其彩色多普勒超声检查和CT检查，最后均经病理学验证，比较两种方法灵敏度、特异度等差异。 结果 彩色多普勒超声诊断乳腺癌准确度为87.95%，灵敏度为93.39%，阴性预测值为80.49%，明显高于CT检查（79.51%、84.30%、61.22%），差异有统计学意义（P0.05），同时乳腺癌声像图特征与乳腺良性病变声像图特征比较，差异亦有统计学意义（P0.05）。 结论 乳腺癌的彩色多普勒超声诊断具有重要价值，该方法不但具有较高的准确度、灵敏度，而且成像图特征清晰，因此值得临床推广应用。 　　[关键词] 乳腺癌；彩色多普勒超声；诊断 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2015）06（c）-0056-03 　　[Abstract] Objective To analyze the clinical features of breast cancer by the diagnosis of color Doppler ultrasound. Methods 166 patients who had come hospital because of suspected breast cancer were selected to give the examination of color Doppler ultrasound and CT，which were verified by pathology finally.The difference between the two methods was compared on the sensitivity，specificity，etc. Results The accuracy rate of breast cancer diagnosed by color Doppler ultrasound was 87.95%，the sensitivity was 93.39%， the negative predictive value was 80.49%.The rates were obviously higher than those of the CT examination with significant difference （79.51%，84.30%，61.22%） （P0.05）.And the difference between breast cancer and breast benign lesions at the sonogram was also significant （P0.05）. Conclusion The color Doppler ultrasound diagnosis of breast cancer has important value.It not only has highly accuracy and sensitivity，but also has clear and typical sonogram.So it is worth of clinical application. 　　[Key words] Breast cancer；Color Doppler ultrasound； Diagnosis 　　乳腺癌是指发生于乳腺上皮组织的肿瘤，为女性最常见的恶性肿瘤之一，据统计其发病占全身恶性肿瘤的7%～10%，并呈逐年上升。临床上，诊断乳腺癌的常用方法有CT检查、彩色多普勒超声检查、X线检查、MRI检查[1]等，其中彩色多普勒超声具有操作简便、分辨力好、无放射性损害、价格合理的优点，已被临床广泛应用。近年来，笔者通过对来我院行彩色多普勒超声检查的疑似乳腺癌病例进行回顾性分析，得到理想的效果。 　　1资料与方法 　　1.1一般资料 　　选取2012年11月～2014年6月来我院就诊、存在乳腺肿块的患者166例，全部为女性，初步诊断怀疑为乳腺癌，年龄32～68岁，平均（55±10）岁。 　　1.2方法 　　患者均给予CT检查（对照组）和彩色多普勒超声检查（观察组），最后经病理检查验证，比较两组检查效果。 　　1.2.1彩色多普勒超声检查 采用美国GE LOGIQ P5万能彩色超声诊断仪。患者取卧位或侧卧位，双手臂上举将乳房全部暴露出。之后利用彩色多普勒超声诊断仪对双侧乳房进行检查，探头频率为7～12 MHz。扫查要全面、不遗漏，观察乳腺腺体内部回声、导管有无扩张及血流情况。在检查过程中