彩色多普勒超声在乳腺良、恶性肿瘤鉴别诊断中的应用价值
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摘要
目的:对彩色多普勒超声在乳腺良、恶性肿瘤鉴别诊断中的价值进行分析。方法:选本院2017年1月-2018年6月收治的乳腺肿瘤患者60例进行彩色多普勒超声检查,对肿瘤性质进行判断。以病理结果为依据,对彩色多普勒超声检查结果准确性进行评价分析,并总结分析乳腺良、恶性肿瘤声像图特征。结果:本组患者中,病理结果证实为恶性肿瘤患者15例,良性肿瘤患者45例。经彩色多普勒超声检查,检出恶性肿瘤14例,良性肿瘤46例,病理与彩色多普勒超声检查结果比较,差异无统计学意义(P>0.05)。恶性肿瘤超声声像图表现出边界模糊、形态不规则、周边存在显著血流信号、内部回声错杂等,并且存在皮肤浸润征象。良性肿瘤超声声像图表现为肿块呈现椭圆形或圆形,边界清晰,表面光滑,可观察到明显包膜,内部存在明显低回声,回声均匀。结论:乳腺肿瘤经彩色多普勒超声检查进行诊断、鉴别的准确性高,临床价值显著,值得关注并推广。
Objective:To analyze the value of color Doppler ultrasound in the differential diagnosis of benign and malignant breast tumors.Method:60 cases of breast tumors admitted to our hospital from January 2017 to June 2018 were selected for color Doppler ultrasonography to determine the nature of the tumor.Based on the pathological results,the accuracy of the results of color Doppler ultrasonography were evaluated and analyzed.Result:Among the patients in this group,15 cases were confirmed as malignant tumor and 45 cases were confirmed as benign tumor.14 malignant tumors and 46 benign tumors were detected by color Doppler ultrasonography,and the difference was not statistically significant(P>0.05).The ultrasonographic images of malignant tumors showed blurred boundaries,irregular shape,significant blood flow signals,mixed internal echoes,and other signs of skin infiltration.The ultrasonography of benign tumor showed that the mass was oval or round,with clear boundaries and smooth surface,with obvious envelop and obvious hypoecho inside,the echo was even.Conclusion:The diagnostic accuracy of color Doppler ultrasonography in breast tumors is high,and its clinical value is remarkable.
Objective:To analyze the value of color Doppler ultrasound in the differential diagnosis of benign and malignant breast tumors.Method:60 cases of breast tumors admitted to our hospital from January 2017 to June 2018 were selected for color Doppler ultrasonography to determine the nature of the tumor.Based on the pathological results,the accuracy of the results of color Doppler ultrasonography were evaluated and analyzed.Result:Among the patients in this group,15 cases were confirmed as malignant tumor and 45 cases were confirmed as benign tumor.14 malignant tumors and 46 benign tumors were detected by color Doppler ultrasonography,and the difference was not statistically significant(P>0.05).The ultrasonographic images of malignant tumors showed blurred boundaries,irregular shape,significant blood flow signals,mixed internal echoes,and other signs of skin infiltration.The ultrasonography of benign tumor showed that the mass was oval or round,with clear boundaries and smooth surface,with obvious envelop and obvious hypoecho inside,the echo was even.Conclusion:The diagnostic accuracy of color Doppler ultrasonography in breast tumors is high,and its clinical value is remarkable.
引文
[1]江艳丽,温钊,吴楠,等.自动乳腺全容积超声成像在乳腺实性病灶诊断中的应用价值[J].中国超声医学杂志,2013,29(9):786-789.
[2]黄健民,华金才.彩色多普勒超声诊断小乳腺癌与乳腺增生的临床有效性与安全性评价[J].中国妇幼保健,2014,29(4):617-618.
[3]詹小林,严昆,关瑞宏,等.彩色多普勒超声诊断乳腺Paget病的价值及分析[J].中国超声医学杂志,2015,31(8):755-757.
[4]张琼珍.超声实时剪切波弹性成像与组织弹性成像技术对早期乳腺癌的鉴别诊断价值[J].实用医学杂志,2017,33(3):417-420.
[5]邱春花,柳建华,区文财,等.高频彩色多普勒超声对乳腺黏液腺癌不同病理亚型的作用研究[J].广州医药,2017,48(1):24-28.
[6]熊青云,龙在峰,周元,等.彩色多普勒超声诊断乳腺良性和恶性肿瘤的临床价值[J].中国现代医学杂志,2015,25(24):93-95.
[7]蔡丽珊,陈铃,张建兴,等.彩色多普勒超声及Ki-67表达对乳腺癌新辅助化疗疗效评价的应用价值[J].实用医学杂志,2017,33(16):2674-2677.
[8]边方圆,刘玮玮,张家家.三维能量多普勒超声对乳腺良恶性肿瘤的鉴别诊断价值[J].现代仪器与医疗,2017,23(1):13-14.
[9]王保纪.高频彩色多普勒超声在乳腺良恶性肿块鉴别诊断中的应用[J].中国社区医师,2016,32(16):104-105.
[10]封华.彩色多普勒超声对乳腺良恶性肿块的诊断价值分析[J].实用妇科内分泌杂志,2017,4(1):24-25.
[11]张晓晓,詹维伟,贾懿,等.彩色多普勒超声鉴别诊断良恶性乳腺肿块[J].中国医学影像技术,2014,30(12):1844-1847.
[12]杨超,陈燕,马小燕.彩色多普勒超声诊断乳腺肿瘤的临床诊断价值[J].中国实用医药,2015,10(21):19-20.
[13]邢文静,郑洪川,宋朝芳.彩色多普勒超声检查对乳腺肿瘤的诊断价值[J].西部医学,2014,26(4):502-503.
[14]刘悦,李萍,张锦,等.结合BI-R ADS分级分析彩色多普勒超声在乳腺良恶性肿瘤中的诊断价值[J].中医学报,2014,29(B12):390.
[15]韦芳,雷蓓,连溯,等.彩色多普勒超声诊断乳腺肿瘤价值的随访调查与分析[J].广西医科大学学报,2014,31(4):599-601.
[16]丛淑珍,吴丽桑,陈青,等.彩色多普勒超声在乳腺良恶性肿瘤鉴别诊断中的应用价值[J].中华医学超声杂志,2016,3(4):242-244.
[17]邹雪鸣,孙芳芳,徐立江.彩色多普勒超声在乳腺检查中的诊断价值及临床应用[J].中国医药导报,2013,10(26):108-110.
[18]刘先波.彩色多普勒超声结合运动负荷试验对乳腺良恶性肿瘤的鉴别研究[J].贵阳中医学院学报,2013,35(4):9-10.
[19]何瑞婵,李小兰,许羽,等.彩超协助评价新辅助化疗对乳腺癌的临床疗效[J].临床医学工程,2016,23(5):557-558.
[20]鲍丽,么冬爱.乳腺血氧功能成像系统联合彩色多普勒超声诊断乳腺疾病[J].放射学实践,2016,31(10):1003-1006.
[21]邝俊.彩色多普勒超声在乳腺良恶性肿瘤鉴别诊断中的应用价值[J].广州医药,2017,48(1):56-58.
[22]赵博.彩色多普勒超声对女性乳腺癌诊断价值的Meta分析[J].国际医药卫生导报,2016,22(20):3155-3156.
[23]齐福珍.高频彩色多普勒超声诊断乳腺肿瘤的临床分析[J].现代医院,2013,13(11):69-70.
[24]邹庆国.彩色多普勒超声结合弹性成像在早期乳腺癌诊断中的价值[J].中国妇幼保健,2014,29(16):2633-2635.
[2]黄健民,华金才.彩色多普勒超声诊断小乳腺癌与乳腺增生的临床有效性与安全性评价[J].中国妇幼保健,2014,29(4):617-618.
[3]詹小林,严昆,关瑞宏,等.彩色多普勒超声诊断乳腺Paget病的价值及分析[J].中国超声医学杂志,2015,31(8):755-757.
[4]张琼珍.超声实时剪切波弹性成像与组织弹性成像技术对早期乳腺癌的鉴别诊断价值[J].实用医学杂志,2017,33(3):417-420.
[5]邱春花,柳建华,区文财,等.高频彩色多普勒超声对乳腺黏液腺癌不同病理亚型的作用研究[J].广州医药,2017,48(1):24-28.
[6]熊青云,龙在峰,周元,等.彩色多普勒超声诊断乳腺良性和恶性肿瘤的临床价值[J].中国现代医学杂志,2015,25(24):93-95.
[7]蔡丽珊,陈铃,张建兴,等.彩色多普勒超声及Ki-67表达对乳腺癌新辅助化疗疗效评价的应用价值[J].实用医学杂志,2017,33(16):2674-2677.
[8]边方圆,刘玮玮,张家家.三维能量多普勒超声对乳腺良恶性肿瘤的鉴别诊断价值[J].现代仪器与医疗,2017,23(1):13-14.
[9]王保纪.高频彩色多普勒超声在乳腺良恶性肿块鉴别诊断中的应用[J].中国社区医师,2016,32(16):104-105.
[10]封华.彩色多普勒超声对乳腺良恶性肿块的诊断价值分析[J].实用妇科内分泌杂志,2017,4(1):24-25.
[11]张晓晓,詹维伟,贾懿,等.彩色多普勒超声鉴别诊断良恶性乳腺肿块[J].中国医学影像技术,2014,30(12):1844-1847.
[12]杨超,陈燕,马小燕.彩色多普勒超声诊断乳腺肿瘤的临床诊断价值[J].中国实用医药,2015,10(21):19-20.
[13]邢文静,郑洪川,宋朝芳.彩色多普勒超声检查对乳腺肿瘤的诊断价值[J].西部医学,2014,26(4):502-503.
[14]刘悦,李萍,张锦,等.结合BI-R ADS分级分析彩色多普勒超声在乳腺良恶性肿瘤中的诊断价值[J].中医学报,2014,29(B12):390.
[15]韦芳,雷蓓,连溯,等.彩色多普勒超声诊断乳腺肿瘤价值的随访调查与分析[J].广西医科大学学报,2014,31(4):599-601.
[16]丛淑珍,吴丽桑,陈青,等.彩色多普勒超声在乳腺良恶性肿瘤鉴别诊断中的应用价值[J].中华医学超声杂志,2016,3(4):242-244.
[17]邹雪鸣,孙芳芳,徐立江.彩色多普勒超声在乳腺检查中的诊断价值及临床应用[J].中国医药导报,2013,10(26):108-110.
[18]刘先波.彩色多普勒超声结合运动负荷试验对乳腺良恶性肿瘤的鉴别研究[J].贵阳中医学院学报,2013,35(4):9-10.
[19]何瑞婵,李小兰,许羽,等.彩超协助评价新辅助化疗对乳腺癌的临床疗效[J].临床医学工程,2016,23(5):557-558.
[20]鲍丽,么冬爱.乳腺血氧功能成像系统联合彩色多普勒超声诊断乳腺疾病[J].放射学实践,2016,31(10):1003-1006.
[21]邝俊.彩色多普勒超声在乳腺良恶性肿瘤鉴别诊断中的应用价值[J].广州医药,2017,48(1):56-58.
[22]赵博.彩色多普勒超声对女性乳腺癌诊断价值的Meta分析[J].国际医药卫生导报,2016,22(20):3155-3156.
[23]齐福珍.高频彩色多普勒超声诊断乳腺肿瘤的临床分析[J].现代医院,2013,13(11):69-70.
[24]邹庆国.彩色多普勒超声结合弹性成像在早期乳腺癌诊断中的价值[J].中国妇幼保健,2014,29(16):2633-2635.