CAJ | 학술논문

目的：研究超声定量评分对乳腺结节性质鉴定的临床价值。方法100例乳腺结节患者采用二维超声观察双侧乳房一般情况并评分，采用彩色多普勒血流成像观察病灶周边及内部血流情况，按Adler定量分级法进行评分，再对结节内的血管进行多点采样，获得清晰的脉冲多普勒频谱，测量动脉血流信号的阻力指数值，结合二维和彩色血流的定量综合分析，鉴定乳腺结节良恶性，并与术后病理结果进行对比分析。结果与病理检查结果对比，二维超声评分对乳腺结节诊断符合率为75.9%，综合二维超声征象评分和彩色血流的定量分析诊断符合率为89.7%，综合判断诊断符合率明显高于二维超声评分，差异有统计学意义(χ2=9.6777，P<0.05)。结论综合二维超声征象评分和彩色血流的定量分析对乳腺结节性质鉴定准确率高，具有临床推广的价值。
목적：연구초성정량평분대유선결절성질감정적림상개치。방법100례유선결절환자채용이유초성관찰쌍측유방일반정황병평분，채용채색다보륵혈류성상관찰병조주변급내부혈류정황，안Adler정량분급법진행평분，재대결절내적혈관진행다점채양，획득청석적맥충다보륵빈보，측량동맥혈류신호적조력지수치，결합이유화채색혈류적정량종합분석，감정유선결절량악성，병여술후병리결과진행대비분석。결과여병리검사결과대비，이유초성평분대유선결절진단부합솔위75.9%，종합이유초성정상평분화채색혈류적정량분석진단부합솔위89.7%，종합판단진단부합솔명현고우이유초성평분，차이유통계학의의(χ2=9.6777，P<0.05)。결론종합이유초성정상평분화채색혈류적정량분석대유선결절성질감정준학솔고，구유림상추엄적개치。
Objective To explore the clinical value of quantitative ultrasound score in the determination of the nature of breast nodules. Methods Bilateral breasts of 100 patients with breast nodules was observed by two-di-mensional ultrasound and generally scored. The peripheral and internal blood flow of lesion was observed by color Doppler flow imaging and was scored by Adler quantitative grading. Vessels in nodules were multi-point sampled, to obtain a clear pulsed Doppler spectrum and the resistant index of arterial blood flow was measured. The results of two-dimensional ultrasound and color flow quantification of patients were analyzed comprehensively. Benign and ma-lignant breast nodules were identified, and the results were compared with pathological results. Results Compared with pathological examination, the accordant diagnostic rate of two-dimensional ultrasound score was 75.9%and that of two-dimensional ultrasound score combining color flow quantitative analysis was 89.7%, which was significantly higher than that of two-dimensional ultrasound score (χ2=9.6777, P<0.05). Conclusion Color flow quantitative analy-sis combined with two-dimensional ultrasound score has better identification accuracy in breast nodules, which should be promoted in clinical application.