CAJ | 학술논문

目的探讨彩色多普勒超声对乳腺肿块诊断和鉴别诊断的作用,提高超声检查的准确率.方法通过彩色多普勒检查乳腺肿块的大小、形态、内部回声及血供情况,测量阻力指数(RI),对本院2005年1月至2008年12月,218例乳腺肿块的病例与其手术或穿刺病理诊断结果进行对照分析.结果 218例乳腺肿块病例中、恶性肿块82例;良性肿块136例,良性肿块中,乳腺纤维瘤54例,乳腺增生性疾病(乳腺腺病、乳腺纤维囊性增生、乳腺纤维增生)76例,乳腺囊肿3例,乳腺导管内乳头状瘤5例,误诊11例,诊断符合率为95%.结论彩色多普勒超声对乳腺肿块性质判断,在乳腺肿块的诊断及鉴别诊断方面符合率较高,简便无创伤,具有较大的临床应用价值.
목적 탐토채색다보륵초성대유선종괴진단화감별진단적작용,제고초성검사적준학솔.방법 통과채색다보륵검사유선종괴적대소、형태、내부회성급혈공정황,측량조력지수(RI),대본원2005년1월지2008년12월,218례유선종괴적병례여기수술혹천자병리진단결과진행대조분석.결과 218례유선종괴병례중、악성종괴82례;량성종괴136례,량성종괴중,유선섬유류54례,유선증생성질병(유선선병、유선섬유낭성증생、유선섬유증생)76례,유선낭종3례,유선도관내유두상류5례,오진11례,진단부합솔위95%.결론 채색다보륵초성대유선종괴성질판단,재유선종괴적진단급감별진단방면부합솔교고,간편무창상,구유교대적림상응용개치.
Objective To evaluate Color Doppler Ultrasonography in the diagnosis and differential diagnosis of breast tumours, and improve the accuracy of ultrasound examination. Methods An analysis based on 218 breast tumours cases of surgery or puncture pathology diagnosis in our hospital, during January 2005 to December 2008. Breast tumour size, shape, internal echo, blood supply, and resistance index(RI) were estimated by Color Doppler Ultrasonography. Results Among the 218 cases,82 patients with malignant tumour;136 with benign tumour which include 54 patients with breast fibromatosis,76 with proliferative breast disease (breast adenosis, fibrocystic breast hyperplasia, breast fibrosis) ,3 with breast cysts,5 with breast intraductal papilloma, 11 with misdiagnosis, the diagnostic coincidence rate was 95%. Conclusion Color Doppler Uhrasonography, a simple and noninvasive method was used to determine the nature of breast tumout. it showed a higher accuracy rate at the breast tumour diagnosis and the differential diagnosis. It has great clinical application value.