中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
23期
20-21
,共2页
高频探头%乳腺癌%钼靶
高頻探頭%乳腺癌%鉬靶
고빈탐두%유선암%목파
High frequency probe%Breast cancer%Mammography
目的 探讨二维高频超声及彩色多普勒超声(CDFI)钼靶X线联合应用对乳腺癌诊断的适用价值.方法 回顾性分析及病理证实的乳腺肿块76例,其中乳腺癌26例,乳腺良性肿瘤50例.对其二维超声图像特征、CDFI、钼靶X线特征进行分析.结果 乳腺癌与良性肿瘤二维超声图像方面差异有显著性.乳腺癌二维呈低回声,非均质肿物;边界不清,边缘毛刺,强回声晕,边缘成角,后方衰成,有声影,内部微小钙化,导管内结构紊乱,内呈小分叶,边缘增厚.钼靶X线检查发现肿块、微小钙化、局部结构紊乱是乳腺癌的X线直接征象,局灶性致密浸润,局部皮肤增厚,导管增粗影及腋窝淋巴结增大是乳腺癌的X线间接征象,二维超声结合CDFI比钼靶x线检查准确.CDFI:血流没有显著性.联合运用较单独用一种的敏感度、特异度和准确度均有提高.结论 二维超声结合CDFI比钼靶X线检查更准确.联合应用可以提高乳腺癌诊断的准确率,是乳腺影像学最佳组合.
目的 探討二維高頻超聲及綵色多普勒超聲(CDFI)鉬靶X線聯閤應用對乳腺癌診斷的適用價值.方法 迴顧性分析及病理證實的乳腺腫塊76例,其中乳腺癌26例,乳腺良性腫瘤50例.對其二維超聲圖像特徵、CDFI、鉬靶X線特徵進行分析.結果 乳腺癌與良性腫瘤二維超聲圖像方麵差異有顯著性.乳腺癌二維呈低迴聲,非均質腫物;邊界不清,邊緣毛刺,彊迴聲暈,邊緣成角,後方衰成,有聲影,內部微小鈣化,導管內結構紊亂,內呈小分葉,邊緣增厚.鉬靶X線檢查髮現腫塊、微小鈣化、跼部結構紊亂是乳腺癌的X線直接徵象,跼竈性緻密浸潤,跼部皮膚增厚,導管增粗影及腋窩淋巴結增大是乳腺癌的X線間接徵象,二維超聲結閤CDFI比鉬靶x線檢查準確.CDFI:血流沒有顯著性.聯閤運用較單獨用一種的敏感度、特異度和準確度均有提高.結論 二維超聲結閤CDFI比鉬靶X線檢查更準確.聯閤應用可以提高乳腺癌診斷的準確率,是乳腺影像學最佳組閤.
목적 탐토이유고빈초성급채색다보륵초성(CDFI)목파X선연합응용대유선암진단적괄용개치.방법 회고성분석급병리증실적유선종괴76례,기중유선암26례,유선량성종류50례.대기이유초성도상특정、CDFI、목파X선특정진행분석.결과 유선암여량성종류이유초성도상방면차이유현저성.유선암이유정저회성,비균질종물;변계불청,변연모자,강회성훈,변연성각,후방쇠성,유성영,내부미소개화,도관내결구문란,내정소분협,변연증후.목파X선검사발현종괴、미소개화、국부결구문란시유선암적X선직접정상,국조성치밀침윤,국부피부증후,도관증조영급액와림파결증대시유선암적X선간접정상,이유초성결합CDFI비목파x선검사준학.CDFI:혈류몰유현저성.연합운용교단독용일충적민감도、특이도화준학도균유제고.결론 이유초성결합CDFI비목파X선검사경준학.연합응용가이제고유선암진단적준학솔,시유선영상학최가조합.
Objective To investigate the value of nigh frequency 2-Dimension combined with color doppler flow imaging(CD-FI) mammograpby on the diagnosis of breast cancer. Methods Seventy-six cases were studied retrospectively including 26 malig-nant cases and 50 benign cases. The diagnosis by using high frequency probe combined with CDFI compared with that by using mam-mog-raphy respectively. Results There were significart difference between malignant and benign breast lesions in the appearance of the lesions. The masses, micro-calcification and structural disorder in duct were shown shown on the imaging of breast cancer.The miro-calcification and focai structural disorder were iound to be the direct mammographic signs of breast cancer in mammogra-phy. The indirected mammographic signs included focal compact infiltration, regional thicken skin widen ductal shadow and enlarged axillang lymph nodes. CDFI:There was no significant difference in the extent of blood flow between malignancy and benignancy. The combination of two techniques had higher sensitivity, specificity, and accuracy. Conclusion 2-Dimension and CDFI combined with mammography can raise diagnostic rate of breast cancer Their combination is the best one of berast imaging examinations.
