二维及彩色多普勒超声诊断乳腺癌的临床价值-影像医学与核医学专业论文.docxVIP

摘 要 二维及彩色多普勒超声诊断乳腺癌的临床价值 摘 要 目的：探讨二维及彩色多普勒超声诊断乳腺癌的临床价值。方法：前瞻性分析 128例乳腺肿瘤超声二维图像、彩色多普勒及能量多普勒超声检查结果，全部病例经 手术病理证实。结果：经二维图像、彩色多普勒及能量多普勒超声检查，乳腺良性 肿块诊断符合率为80.7%（46/57），二维声像图多表现为：形态规则，边界清，内部 回声均匀，无强回声晕，无簇状钙化，无后方回声衰减，纵横比＜1；乳腺恶性肿块 诊断符合率为97.2%（69/71），二维声像图多数表现为: 形态不规则或欠规则，边缘 不清，内回声不均匀或欠均匀，3例有强回声晕，35例有簇状钙化，18例有后方回声 衰减，纵横比=1；彩色多普勒显示：恶性肿块的彩色血流信号丰富，血流分级高， 血流分级大多数为I～III 级，恶性肿块的PSV、RI、PI均高于良性肿块。结论：二维 及彩色多普勒超声对乳腺肿块的检出率高，应用二维声像图特点、CDFI、 PDI及腋 窝淋巴结综合判断，并可以提高对乳腺良恶性肿块的诊断和鉴别诊断水平。 关键词：乳腺癌；二维及彩色多普勒超声；诊断；鉴别诊断 新疆医科大学医学硕士学位论文 Clinical value of two-dimensional ultrasound images and color Doppler ultrasonography in the diagnosis of breast cancer Abstract Objective: To evaluate the clinical value of two-dimensional ultrasound images and color Doppler ultrasonography in the diagnosis of breast cancer. Methods : Retrospective analysis of 128 cases of breast lesions two-dimensional ultrasound images, color and power Doppler examination results, and in all cases by surgery pathologically confirmed. Results: Through two-dimensional ultrasound images, color and power Doppler examination, most of the benign breast lumps rate of diagnosis is 80.7%(46/57), the two-dimensional ultrasound findings are complete form, smooth edges, internal echo uniform, no hyperechoic halo, no cluster calcification, no posterior echoes attenuation, length/width＜1. Most of the malignant breast lumps rate of diagnosis is 97.2%(69/71), and the two-dimensional ultrasound findings are irregular shape, non smooth edge, irregular internal echoes, 3 cases had hyperechoic halo, 35 cases had cluster calcification, 18 cases had posterior echoes attenuation, length/width=1. The color Doppler shows that the blood stream signal rich in malignant tumor, the malignant breast lumps are I～III; The malignant breast lumps PSV、 RI 、 PI higher than the benign breast lumps. Conclusions : Color Doppler ultrasonography in the detection of breast lumps high rate, using a two-dimensional ultrasonographic features with CDFI、PDI and axillary metastatic