CAJ | 학술논문

目的：探讨临床上采用彩色多普勒超声在乳腺检查中的诊断价值与临床应用分析，以期为该技术在临床上的推广提供借鉴。方法对2013年5月～2014年5月在我院进行乳腺检查的74例患者临床资料进行回顾性分析，所有患者均采用彩色多普勒超声技术进行诊断，患者均通过病理细胞学方法进行确诊，探讨彩色多普勒超声在乳腺检查中的准确率。结果74例患者中通过彩色多普勒超声技术诊断为良性乳腺肿块患者46例，其中，乳腺纤维腺瘤患者9例，乳腺脂肪瘤患者11例，乳腺导管内乳头状瘤患者7例，乳腺囊肿患者19例；恶性肿瘤患者11例，其中髓样癌患者3例，浸润性导管癌患者4例，导管原位癌患者4例；诊断为非肿瘤患者17例。病理细胞学方法诊断为良性乳腺肿块患者45例，恶性肿瘤患者12例，非肿瘤患者17例。该方法诊断的准确率为98.65%（73/74）。结论本研究结果表明，临床上采用彩色多普勒超声在乳腺检查具有较高的诊断价值，该方法诊断的准确率高，操作简单，检查对患者带来的身体和心理上的带来的影响较小，易被患者采纳。
목적：탐토림상상채용채색다보륵초성재유선검사중적진단개치여림상응용분석，이기위해기술재림상상적추엄제공차감。방법대2013년5월～2014년5월재아원진행유선검사적74례환자림상자료진행회고성분석，소유환자균채용채색다보륵초성기술진행진단，환자균통과병리세포학방법진행학진，탐토채색다보륵초성재유선검사중적준학솔。결과74례환자중통과채색다보륵초성기술진단위량성유선종괴환자46례，기중，유선섬유선류환자9례，유선지방류환자11례，유선도관내유두상류환자7례，유선낭종환자19례；악성종류환자11례，기중수양암환자3례，침윤성도관암환자4례，도관원위암환자4례；진단위비종류환자17례。병리세포학방법진단위량성유선종괴환자45례，악성종류환자12례，비종류환자17례。해방법진단적준학솔위98.65%（73/74）。결론본연구결과표명，림상상채용채색다보륵초성재유선검사구유교고적진단개치，해방법진단적준학솔고，조작간단，검사대환자대래적신체화심리상적대래적영향교소，역피환자채납。
Objective To evaluate the diagnostic value and clinical application of analysis of color Doppler ultrasound in breast examination,in order to provide a reference for technology promotion in clinical. Methods 74 patients tested in our hospital from May 2013 to May 2014 were retrospectively analyzed,all patients received color Doppler ultrasound technology to diagnose,patients were diagnosed by pathological cytology,accuracy of color Doppler ultrasound in breast examination was discussed. Results 46 cases of benign breast masses were diagnosed by color Doppler ultrasound of 74 patients,in which 9 cases were breast fibroadenoma patients,11 patients with breast lipoma,intraductal papilloma in 7 patients,breast cysts in 19 patients;11 cases were cancer patients,including three cases of patients with medullary carcinoma,infiltrating ductal carcinoma in 4 cases,4 cases of DCIS patients;17 cases diagnosed with non-cancer patients.Pathological cytology diagnosis of benign breast lumps for 45 patients,12 patients with malignant tumors,17 cases of non-cancer patients.The diagnostic accuracy rate was 98.65% (73/74). Conclusion The results of this study indicate that the use of color Doppler ultrasound has a high diagnostic value of clinical breast examination,high accuracy of the method of diagnosis,simple operation,the impact caused by examination of the patient's physical and psychological less susceptible adoption.