中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
13期
1774-1775
,共2页
邱建民%刘富君%欧阳蕴瑜
邱建民%劉富君%歐暘蘊瑜
구건민%류부군%구양온유
乳腺肿瘤%超声检查,多普勒,彩色%诊断
乳腺腫瘤%超聲檢查,多普勒,綵色%診斷
유선종류%초성검사,다보륵,채색%진단
Breast neoplasms%Ultrasound,doppler,color%Diagnosis
目的 探讨高频彩色多普勒超声检查在乳腺癌早期诊断中的价值.方法 回顾性分析46例经手术后病理证实为乳腺癌的术前高频彩色多普勒超声诊断资料.结果 术前超声诊断乳腺癌41例,纤维腺瘤5例,超声诊断与病理符合率为89.1%.乳腺癌的二维声像图特征:肿块形态欠规则,无包膜,边界欠清,部分呈毛刺状或蟹足样,纵横比≥1,内部为不均匀弱回声,部分见砂粒样钙化灶,后方回声衰减;彩色多普勒血流特征:肿块周围及内部可见血流信号,Vmax值范围:6.6~45.1 cm/s;Vmean(21.50±10.62)cm/s;阻力指数(RI):0.59~1.0,平均(0.74±0.10).结论 高频彩色多普勒超声检查对乳腺癌的早期诊断具有很高的价值.
目的 探討高頻綵色多普勒超聲檢查在乳腺癌早期診斷中的價值.方法 迴顧性分析46例經手術後病理證實為乳腺癌的術前高頻綵色多普勒超聲診斷資料.結果 術前超聲診斷乳腺癌41例,纖維腺瘤5例,超聲診斷與病理符閤率為89.1%.乳腺癌的二維聲像圖特徵:腫塊形態欠規則,無包膜,邊界欠清,部分呈毛刺狀或蟹足樣,縱橫比≥1,內部為不均勻弱迴聲,部分見砂粒樣鈣化竈,後方迴聲衰減;綵色多普勒血流特徵:腫塊週圍及內部可見血流信號,Vmax值範圍:6.6~45.1 cm/s;Vmean(21.50±10.62)cm/s;阻力指數(RI):0.59~1.0,平均(0.74±0.10).結論 高頻綵色多普勒超聲檢查對乳腺癌的早期診斷具有很高的價值.
목적 탐토고빈채색다보륵초성검사재유선암조기진단중적개치.방법 회고성분석46례경수술후병리증실위유선암적술전고빈채색다보륵초성진단자료.결과 술전초성진단유선암41례,섬유선류5례,초성진단여병리부합솔위89.1%.유선암적이유성상도특정:종괴형태흠규칙,무포막,변계흠청,부분정모자상혹해족양,종횡비≥1,내부위불균균약회성,부분견사립양개화조,후방회성쇠감;채색다보륵혈류특정:종괴주위급내부가견혈류신호,Vmax치범위:6.6~45.1 cm/s;Vmean(21.50±10.62)cm/s;조력지수(RI):0.59~1.0,평균(0.74±0.10).결론 고빈채색다보륵초성검사대유선암적조기진단구유흔고적개치.
Objective To explore the value of high-frequency color Doppler ultrasound in the early diagnosis of breast cancer. Methods 46 cases of pathologically confirmed by surgery for breast cancer after preoperative high-frequency color Doppler ultrasound diagnosis were retrospectively analyzed. Results Among preoperative ultrasound diagnosis of breast cancer(41 cases) ,5 cases was fibroadenoma and ultrasound diagnosis and pathology diagnosis consistent rate was 89. 1%. Two-dimensional sonographic features of breast cancer were lumps form less rules,no capsule, the border less clear,and some was like or Crab-like glitches,and Aspect ratio was greater than 1,internal had the non-uniform weak echo,some showed the sand-like calcification,rear echo attenuation,Color Doppler flow characteristics :mass flow signals could be seen around and inside, Vmax value range was 6. 6 cm / s ~ 45. 1 cm / s, Vmean(21.50 ± 10.62) cm/s,RI:0.59 ~ 1.0,an average of(0.74 ±0.1). Conclusion High frequency color Doppler ultrasonography in early diagnosis of breast cancer had a high value.