二维超声及彩色多普勒超声诊断乳腺肿块临床价值研究.docVIP

二维超声及彩色多普勒超声诊断乳腺肿块临床价值研究[摘要] 目的：分析二维超声与彩色多普勒超声诊断乳腺肿块的临床价值。方法：回顾性分析本院2005年1月～2010年1月80例女性乳腺肿块患者行常规乳腺二维及彩色多普勒血流超声检查的临床资料。结果：乳腺良性肿块表现为边界清晰、规则、光整，有纤维包膜；乳腺恶性肿块多表现为边界不规则，边缘粗糙，呈“毛刺”、“蟹足状”，无包膜，内部回声不均，后方回声衰减，边缘有不规则的强回声晕。良恶性乳腺肿块的血流信号检出率差异无统计学意义（P0.05）。结论：对乳腺肿块进行超声诊断时结合彩色多普勒的血流特征才能作出乳腺肿块的良恶性诊断。 [关键词] 二维超声；彩色多普勒超声；乳腺肿块；临床分析 [中图分类号] R730.41 [文献标识码] B [文章编号] 1674-4721（2011）04（a）-077-02 The clinical value analysis of breast lumps by two-dimensional ultrasound and color doppler ultrasound LI Wenying, LIN Linggao, LUO Xiangsu,SUN Jimian The First Chinese Medicine Hospital of Zhanjiang City, Guangdong Province, ZHAN Jiang 524043, China [Abstract] Objective: To analyze the the clinical value of two-dimensional ultrasound and color Doppler ultrasound in diagnosis of breast lumps. Methods: 80 cases of female breast lumps patients in our hospital January 2005 to January 2010 with conventional two-dimensional and color doppler flow of breast ultrasound examination, analyze the clinical data retrospectively. Results: Benign breast lumps clear boundaries, rules, there were fibers coated; m alignant breast tumor showed more irregular borders, edges rough, was “glitches”, “Crab-like”, no capsule, the internal echo uneven, posterior echo attenuation, irregular hyperechoic edge halo. Detection rate of blood flow signals of benign breast lumps and m alignant breast tumor were no significant (P0.05). Conclusion: The ultrasonic diagnosis of breast masses with color doppler blood flow when the features can make a diagnosis of benign and m alignant breast lumps. [Key words] Two-dimensional ultrasound; Color Doppler ultrasound; Breast lesions; Clinical analysis 乳腺肿块是妇科的常见病、多发病，超声是诊断乳腺肿块的重要检查方法之一，尤其是高频探头的使用，明显提高了声像图的质量，进一步提高了诊断良恶性肿块的特征性及正确性[1]。本文旨在总结分析二维超声及彩色多普勒血流显像诊乳腺肿块的临床价值，现报道如下： 1 资料与方法 1.1 一般资料 选择本院2005年1月～2010年1月80例女性乳腺肿块患者作为观察对象，年龄最小19岁，最大65岁，平均（42.4±1.4）岁。共计82处病灶，其中左侧58个，占70.7%，右侧18个，占22.0%，双侧6例，占7.3%。乳腺肿块最小乳腺肿块0.5 cm×0.5 cm，最大5.1 cm×4.8 cm。80例患者经手术和病理证实，其中良性肿块