CAJ | 학술논문

目的探讨实时超声造影技术在典型乳腺癌及非典型乳腺癌诊断中的应用价值.方法回顾性分析73例经二维超声检查后分类的51例典型乳腺癌及22例非典型乳腺癌的实时超声造影结果,比较二者在灌注特点和灌注方式中的差异.结果本研究73例乳腺癌中51例典型乳腺癌和22例非典型乳腺癌在灌注期血管形态、达峰期增强形态、达峰期增强水平、灌注方式之间的差异无统计学意义(P＞0.05),二者均以树枝状或环状不均匀高增强为主,占92%(67/73),灌注方式有快进慢退、快进-延迟-慢退、同进同退三种,分别占48%(35/73),44%(32/73),8%(6/73).结论非典型乳腺癌与典型乳腺癌的造影模式相似,二者的造影模式均以快进慢退、快进-延迟-慢退和环状或树枝状高增强为主,应用超声造影可显著提高乳腺恶性病变、尤其是非典型乳腺癌的诊断准确率.
목적 탐토실시초성조영기술재전형유선암급비전형유선암진단중적응용개치.방법 회고성분석73례경이유초성검사후분류적51례전형유선암급22례비전형유선암적실시초성조영결과,비교이자재관주특점화관주방식중적차이.결과 본연구73례유선암중51례전형유선암화22례비전형유선암재관주기혈관형태、체봉기증강형태、체봉기증강수평、관주방식지간적차이무통계학의의(P＞0.05),이자균이수지상혹배상불균균고증강위주,점92%(67/73),관주방식유쾌진만퇴、쾌진-연지-만퇴、동진동퇴삼충,분별점48%(35/73),44%(32/73),8%(6/73).결론 비전형유선암여전형유선암적조영모식상사,이자적조영모식균이쾌진만퇴、쾌진-연지-만퇴화배상혹수지상고증강위주,응용초성조영가현저제고유선악성병변、우기시비전형유선암적진단준학솔.
Objective To investigate the diagnostic value of contrast enhanced ultrasound in breast cancer. Methods Thirty-six cases including 51 typical and 22 atypical breast cancer were examined with injecting contrast agent before operation. The enhanced charaters of perfusion pattern, enhanced level, and modes were observed and reanalyzed when pathology was got. Results There was no statistical meanings in perfusion pattern, enhanced level and mode between typical and atypical breast cancer. They all enhanced like branch or annulus with high lever and there were 3 enhanced modes:"fast in slow out"(48% ,35/73) ,"lastly fast in slow out"(44% ,32/73) and "same in same out"(8% ,6/73). Conclusions The enhanced modes of breast cancer showed "fast in slow out" , "lastly fast in slow out"and "same in same out", enhanced like "branch or annulus" and high level enhanced. Contrast enhanced ultrasound can increase the diagnostic accuracy in the early stage of breast cancer.