摘要
目的探讨彩色多普勒超声(彩超)诊断乳腺良、恶性肿瘤的临床价值。方法应用彩超诊断251例乳腺肿块,并与手术病理诊断对照,比较良、恶性肿瘤的声像图特点。结果乳腺恶性肿瘤形态不规则、边界呈毛刺状、包膜不完整或无包膜,特别是病灶内微小钙化点与穿支血管的检出率、肿块纵横比>1的发生率,明显高于良性肿瘤(P<0.01)。结论彩超对乳腺肿瘤的诊断与鉴别有重要价值,如肿块不规则、肿块中探查到微小钙化点、新生血管、肿块纵横比>1,常提示乳腺癌。
【Objective】 To evaluate the clinical value of color Doppler ultrasonography in diagnosing be-nign and malignant breast tumors. 【Methods】 The changes of Doppler ultrasound images in 251 patients diagnosed as breast tumors were collected and analyzed. Furthermore, the accuracy of diagnoses with Doppler ultrasonography was assessed and compared with pathological diagnoses. 【Results】 With Doppler ultrasound method, malignant breast tumors generally showed irregular shape, unclear border and incomplete capsule or no capsule（P〈0.01）. Meanwhile, malignant breast tumors had higer incidence of the following features including micro-calcification, perforating blood vessels and increased ratio in length and breadth than benign breast tumors（P〈0.01）. 【Conclusions】 Doppler ultrasonography has high value in distinguishing benign and malignant breast tumors. Normally, micro-calcification, new vessels and increased ratio in length and breadth in breast masses strongly suggest the diagnosis of breast cancer.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第24期93-95,共3页
China Journal of Modern Medicine
关键词
乳腺肿瘤
彩色多普勒超声
诊断
breast carcinoma
color Doppler ultrasound
diagnosis
