| 张英华，阳瑞莲，罗苏.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].中南医学科学杂志.,2012,40(5):501-503. |
| 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 |
| Application Value of Color Doppler Ultrasound in Differentiating Benign and Malignant Breast Tumors Diagnosis |
| 投稿时间：2012-03-08 |
| DOI： |
| 中文关键词: 彩色多普勒超声 乳腺肿瘤 鉴别诊断 |
| 英文关键词:Color Doppler ultrasound neoplasm diagnosis |
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| 中文摘要: |
| 目的探讨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。方法回顾性分析本院经手术病理证实的38例乳腺癌患者及38例乳腺良性肿瘤患者的二维超声声像图及彩色多普勒特点。结果乳腺癌31例表现为形态不规则，边界不清，呈蟹足样，内回声不均匀，以低回声为主，24例见微钙化。彩色多普勒血流分级32例为Ⅱ～Ⅲ级，30例阻力指数（RI）≥0.7。乳腺良性肿瘤中30例表现为形态规则，边界清，有包膜，内回声均匀。彩色多普勒血流分级32例为0~Ⅰ级，6例为Ⅱ~Ⅲ级，探及频谱12例，10例RI＜0.7（P<0.05）。乳腺癌的血流分级、阻力指数显著高于乳腺良性肿瘤，差异有显著性。结论彩色多普勒超声在乳腺良恶性肿瘤的诊断及鉴别诊断中有重要的临床应用价值。 |
| 英文摘要: |
| ObjectiveTo discuss the application value of color Doppler ultrasound in differentiating benign and malignant breast tumors diagnosis.MethodThe paper retrospectively analysed two-dimensional ultrasonography and color Doppler characteristics of 38 cases with breast cancer and 38 cases of benign breast tumor confirmed by operation and pathology.ResultsThirty-one cases of the thirty-eight cases of breast cancer patients in this group, whose ultrasound sonogram was usually irregular shape, ill-defined and Crab-like, with a heterogeneous echo, hypoechoic and twenty-four of them had visible microcalcifications. Thirty-two of the patients’ Color Doppler flow grade was the Ⅱ-Ⅲ class, Thirty cases RI ≥ 0.7. In this group among the thirty-eight patients with benign breast tumor, thirty of whose ultrasound sonogram was regular in shape, border clearance, enveloped within the echo uniform. Thirty-two of the patients’Color Doppler flow grade was 0-Ⅰ grade, six cases Ⅱ-Ⅲ class, twelve cases exploration and spectrum, ten cases RI <0.7. Flow grade of breast cancer, resistance index was significantly higher than benign breast tumor, and the difference was statistically significant（P< 0.05）.ConclusionIt is of great clinical application value to apply Color Doppler ultrasound in benign and malignant breast tumor diagnosis and the distinction diagnosis. |
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