实用癌症杂志
實用癌癥雜誌
실용암증잡지
The Practical Journal of Cancer
2015年
8期
1246-1249
,共4页
高频超声%乳腺肿瘤%二维声像图%CDFI特征%血流分级
高頻超聲%乳腺腫瘤%二維聲像圖%CDFI特徵%血流分級
고빈초성%유선종류%이유성상도%CDFI특정%혈류분급
High frequency ultrasound%Breast cancer%Two-dimensional sonogram%CDFI features%Flow grade
目的 探讨分析高频超声对乳腺肿瘤的临床诊断价值. 方法 选择经手术病理检查确诊的246例乳腺肿瘤患者,分析其声像图特征、彩色多普勒表现和血流阻力指数等临床资料,并与手术病理结果比较. 结果 乳腺癌良性患者与恶性患者的二维声像图在形态首发规则、是否具有钙化、边界是否清晰、包膜是否完整、是否具有血流信号等方面均具有明显差异性(P<0.05);良性肿瘤患者的Vmax、RI数值明显小于恶性肿瘤患者,具有统计学意义(P<0.05);良性肿瘤患者的Adler半定量的分级状况与恶性肿瘤患者的比较具有较大差异,具有明显差异性(P<0.05);良性肿瘤患者的彩色多普勒血流分级以0级、1级为主,恶性肿瘤以2级、3级为主要血流分布. 良恶性肿瘤患者彩色血流分级方面具有较大差异性(P<0.05). 结合病理结果显示:超声诊断良性肿瘤准确率为94.61%(193/204),误诊率为5.39%(11/204);超声诊断恶性肿瘤准确率为88.10%(37/42),误诊率为11.90%(5/42);超声总诊断率为94.50%(230/246),误诊率5.50%(16/246). 结论 高频超声对乳腺肿瘤具有较高的诊断准确率,并且为临床诊断提供具体的参考数据,是一种值得在临床上广泛推广的诊断手段.
目的 探討分析高頻超聲對乳腺腫瘤的臨床診斷價值. 方法 選擇經手術病理檢查確診的246例乳腺腫瘤患者,分析其聲像圖特徵、綵色多普勒錶現和血流阻力指數等臨床資料,併與手術病理結果比較. 結果 乳腺癌良性患者與噁性患者的二維聲像圖在形態首髮規則、是否具有鈣化、邊界是否清晰、包膜是否完整、是否具有血流信號等方麵均具有明顯差異性(P<0.05);良性腫瘤患者的Vmax、RI數值明顯小于噁性腫瘤患者,具有統計學意義(P<0.05);良性腫瘤患者的Adler半定量的分級狀況與噁性腫瘤患者的比較具有較大差異,具有明顯差異性(P<0.05);良性腫瘤患者的綵色多普勒血流分級以0級、1級為主,噁性腫瘤以2級、3級為主要血流分佈. 良噁性腫瘤患者綵色血流分級方麵具有較大差異性(P<0.05). 結閤病理結果顯示:超聲診斷良性腫瘤準確率為94.61%(193/204),誤診率為5.39%(11/204);超聲診斷噁性腫瘤準確率為88.10%(37/42),誤診率為11.90%(5/42);超聲總診斷率為94.50%(230/246),誤診率5.50%(16/246). 結論 高頻超聲對乳腺腫瘤具有較高的診斷準確率,併且為臨床診斷提供具體的參攷數據,是一種值得在臨床上廣汎推廣的診斷手段.
목적 탐토분석고빈초성대유선종류적림상진단개치. 방법 선택경수술병리검사학진적246례유선종류환자,분석기성상도특정、채색다보륵표현화혈류조력지수등림상자료,병여수술병리결과비교. 결과 유선암량성환자여악성환자적이유성상도재형태수발규칙、시부구유개화、변계시부청석、포막시부완정、시부구유혈류신호등방면균구유명현차이성(P<0.05);량성종류환자적Vmax、RI수치명현소우악성종류환자,구유통계학의의(P<0.05);량성종류환자적Adler반정량적분급상황여악성종류환자적비교구유교대차이,구유명현차이성(P<0.05);량성종류환자적채색다보륵혈류분급이0급、1급위주,악성종류이2급、3급위주요혈류분포. 량악성종류환자채색혈류분급방면구유교대차이성(P<0.05). 결합병리결과현시:초성진단량성종류준학솔위94.61%(193/204),오진솔위5.39%(11/204);초성진단악성종류준학솔위88.10%(37/42),오진솔위11.90%(5/42);초성총진단솔위94.50%(230/246),오진솔5.50%(16/246). 결론 고빈초성대유선종류구유교고적진단준학솔,병차위림상진단제공구체적삼고수거,시일충치득재림상상엄범추엄적진단수단.
Objective To evaluate the clinical diagnostic value of high frequency ultrasound in breast tumors.Methods 246 cases of pathologically confirmed breast cancer patients were selected.Clinical data including sonographic features,perform-ance of color Doppler,blood flow resistance index were analyzed and compared with the pathologic findings.Results Two-dimen-sional sonogram of patients with benign and malignant breast cancer had significant difference in the form of the first rule ,whether had calcification,whether had clear boundary,whether had complete envelope,whether had flow signals and other aspects(P<0.05);Vmax,RI values of benign tumors were significantly less than that of malignant tumors,there had statistical difference ( P<0.05);Adler semi-quantitative grading of benign and malignant tumors had statistical difference (P<0.05);color Doppler flow grades of benign tumors were mainly 0 and 1,and those of malignant tumors were mainly 2 and 3,there had statistical differ-ences (P<0.05);Pathologic results showed that accuracy of ultrasound diagnosis of benign tumors was 94.61% (193/204), misdiagnosis rate was 5.39%(11/204);The accuracy of ultrasound diagnosis of malignancy was 88.10%(37/42),misdiagno-sis rate was 11.90%(5/42);total ultrasound diagnosis rate was 94.50%(230/246),misdiagnosis rate was 5.50%(16/246). Conclusion The high-frequency ultrasound has a high accuracy rate in the diagnosis of breast cancer,and provide specific refer-ence data for clinical diagnosis.It is worthy of clinical application.
