CAJ | 학술논문

目的：探讨超声影像学诊断与鉴别乳腺肿块良恶性的价值。方法对262例乳腺肿块患者进行彩色多普勒超声检查，观察肿块的形态、边缘、包膜、内部回声、微钙化、纵横比、腋窝淋巴结及乳腺肿块的彩色多普勒血流信号，与术后病理结果进行对比观察。结果所有病例共检出314个肿块，超声影像学诊断乳腺良性肿块与病理诊断的符合率为97．3%，误诊率为2．7%；超声影像学诊断乳腺恶性肿块与病理诊断的符合率为92．9%，误诊率为7．1%。超声检查结果显示，良恶性肿块在肿块形态、边缘、回声、微钙化、纵横比、腋窝淋巴结等影像学特征比较，差异均有统计学意义( P<0．01)。结论超声影像学可较为准确地诊断并鉴别乳腺肿块的良恶性。
목적：탐토초성영상학진단여감별유선종괴량악성적개치。방법대262례유선종괴환자진행채색다보륵초성검사，관찰종괴적형태、변연、포막、내부회성、미개화、종횡비、액와림파결급유선종괴적채색다보륵혈류신호，여술후병리결과진행대비관찰。결과소유병례공검출314개종괴，초성영상학진단유선량성종괴여병리진단적부합솔위97．3%，오진솔위2．7%；초성영상학진단유선악성종괴여병리진단적부합솔위92．9%，오진솔위7．1%。초성검사결과현시，량악성종괴재종괴형태、변연、회성、미개화、종횡비、액와림파결등영상학특정비교，차이균유통계학의의( P<0．01)。결론초성영상학가교위준학지진단병감별유선종괴적량악성。
Purpose To study the value of the ultrasonic imaging in the diagnosis and differential diagnosis of benign and malignant breast tumor. Methods Color doppler ultrasound examination were conducted in 262 cases of patients with breast tumor. The mor-phology of the tumor, edge, envelope, internal echo, microcalcification, length and breadth ratio, axillary lymph node and blood-flow signals of color doppler in breast tumors were observed and these results were compared with the pathological observation postoperation. Results There were 314 tumors in all cases, the coincidence rate in the diagnosis of benign breast diseases with ultrasonic imaging and pathological diagnosis was 97. 3%, the misdiagnosis rate was 2. 7%. The coincidence rate in the diagnosis of breast malignant tumors with ultrasound imaging and pathological diagnosis was 92. 9%, the misdiagnosis rate was 7. 1%. There were statistically signif-icant differences between benign tumors and malignant tumors in the tumor shape, edge, echo, microcalcification, length and breadth ratio, axillary lymph node imaging characteristics (P<0. 01). Conclusion Ultrasound imaging can be more accurate diagnosis and i-dentification of benign and malignant breast tumors.