CAJ | 학술논문

目的：探讨彩色多普勒超声（彩超）对良、恶性乳腺肿块的鉴别诊断效果，观察其对乳腺癌TNM分期的评估效果。方法随机选取150例乳腺肿块患者进行彩超检查，观察肿块形态、边界、包膜、内部回声、后方回声、侧方声影等项目；对肿块进行病理检查，以病理结果为标准，评价彩超对乳腺肿块的诊断鉴别能力；对恶性乳腺肿块进行TNM分期，观察彩超诊断对其的评估价值。结果良恶性乳腺肿块的形态、边界、包膜、内部回声、后方回声、侧方声影等影像特征差异有统计学意义（ P＜0．01）。以乳腺肿块病理诊断结果对照，彩超对良恶性乳腺肿块的检出率分别为96．16％、80．00％。随着TNM分期的增高，多普勒血流分级增高。结论彩超对良、恶性乳腺肿块具有良好的鉴别诊断效能，对良恶性乳腺肿块的检出率较高，且对评价乳腺癌的TNM分期具有一定的提示作用。
목적：탐토채색다보륵초성（채초）대량、악성유선종괴적감별진단효과，관찰기대유선암TNM분기적평고효과。방법수궤선취150례유선종괴환자진행채초검사，관찰종괴형태、변계、포막、내부회성、후방회성、측방성영등항목；대종괴진행병리검사，이병리결과위표준，평개채초대유선종괴적진단감별능력；대악성유선종괴진행TNM분기，관찰채초진단대기적평고개치。결과량악성유선종괴적형태、변계、포막、내부회성、후방회성、측방성영등영상특정차이유통계학의의（ P＜0．01）。이유선종괴병리진단결과대조，채초대량악성유선종괴적검출솔분별위96．16％、80．00％。수착TNM분기적증고，다보륵혈류분급증고。결론채초대량、악성유선종괴구유량호적감별진단효능，대량악성유선종괴적검출솔교고，차대평개유선암적TNM분기구유일정적제시작용。
Objective To evaluate the effect of Color Doppler Ultrasound ( CDU) in diagnosis of benign and malignant breast masses and in assessing of TNM staging of breast cancer.Methods 150 patients with breast masses examined through col-or echocardiography to observe the tumor’ s shape,boundary,diolame,internal echo,posterior echo and lateral acoustic shadow. Pathological examination was used to examine tumor and the pathology results served as the standard to evaluate the diagnosis effect of CDU in diagnosis of breast masses.Malignant breast masses were given TNM stage to observe the diagnostic value of CDU.Results There were statistically significant differences in the image characteristics between benign and malignant breast tumor,such as shape,boundary,internal echo,diolame,posterior echo and lateral acoustic shadow (P<0.01).Compared with the pathological diagnosis results, detection rates of benign and malignant breast tumors by CDU were respectively 96.16% and 80.00%.With the increase of TNM stage,Doppler flow classification increased.Conclusion CDU is of positive value in diagno-sis of benign and malignant breast masses,the detection rate is higher,and sheds some light in the evaluation of TNM staging of breast cancer.