中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
26期
67-68
,共2页
乳腺肿瘤%彩色多普勒%病理诊断
乳腺腫瘤%綵色多普勒%病理診斷
유선종류%채색다보륵%병리진단
tumor of breast%color Doppler%pathological diagnosis
目的探讨乳腺肿瘤超声图像特点与病理诊断的关系，以提超声对乳腺肿块的定性诊断价值。方法对我院2009年1月-2013年1月间72例乳腺肿块患者的超声图像特点与病理结果进行回顾性分析。结果72例患者中，术前经超声诊断良性病变29例，术后病理证实，良性病变35例，超声诊断符合率82.9%。术前经超声诊断恶性病变43例，术后病理证实，良性病变40例，超声诊断符合率93%。结论乳腺良性肿瘤超声表现为形态规则，边界清晰，内部呈<br> 中等偏低或者等回声，回声较均质，后方不伴声影,其内少见钙化；CDFI内无血流或较少，表现为低速连续血流,一般流速小于13cm /s。恶性肿瘤表现为形态不规则，边界模糊,呈毛刺状、“蟹足”状或分叶状改变，无包膜或包膜不完整，内部呈明显低回声且内回声不均质,多见条状，点状及簇状钙化，后方衰减明显；CDFI其内常见穿心状血流，表现为脉动血流,流速大于25cm /s，乳腺肿瘤超声图像的形状、边缘、内部回声及血流对乳腺肿瘤良、恶性鉴别方面具有有重要参考价值。
目的探討乳腺腫瘤超聲圖像特點與病理診斷的關繫，以提超聲對乳腺腫塊的定性診斷價值。方法對我院2009年1月-2013年1月間72例乳腺腫塊患者的超聲圖像特點與病理結果進行迴顧性分析。結果72例患者中，術前經超聲診斷良性病變29例，術後病理證實，良性病變35例，超聲診斷符閤率82.9%。術前經超聲診斷噁性病變43例，術後病理證實，良性病變40例，超聲診斷符閤率93%。結論乳腺良性腫瘤超聲錶現為形態規則，邊界清晰，內部呈<br> 中等偏低或者等迴聲，迴聲較均質，後方不伴聲影,其內少見鈣化；CDFI內無血流或較少，錶現為低速連續血流,一般流速小于13cm /s。噁性腫瘤錶現為形態不規則，邊界模糊,呈毛刺狀、“蟹足”狀或分葉狀改變，無包膜或包膜不完整，內部呈明顯低迴聲且內迴聲不均質,多見條狀，點狀及簇狀鈣化，後方衰減明顯；CDFI其內常見穿心狀血流，錶現為脈動血流,流速大于25cm /s，乳腺腫瘤超聲圖像的形狀、邊緣、內部迴聲及血流對乳腺腫瘤良、噁性鑒彆方麵具有有重要參攷價值。
목적탐토유선종류초성도상특점여병리진단적관계，이제초성대유선종괴적정성진단개치。방법대아원2009년1월-2013년1월간72례유선종괴환자적초성도상특점여병리결과진행회고성분석。결과72례환자중，술전경초성진단량성병변29례，술후병리증실，량성병변35례，초성진단부합솔82.9%。술전경초성진단악성병변43례，술후병리증실，량성병변40례，초성진단부합솔93%。결론유선량성종류초성표현위형태규칙，변계청석，내부정<br> 중등편저혹자등회성，회성교균질，후방불반성영,기내소견개화；CDFI내무혈류혹교소，표현위저속련속혈류,일반류속소우13cm /s。악성종류표현위형태불규칙，변계모호,정모자상、“해족”상혹분협상개변，무포막혹포막불완정，내부정명현저회성차내회성불균질,다견조상，점상급족상개화，후방쇠감명현；CDFI기내상견천심상혈류，표현위맥동혈류,류속대우25cm /s，유선종류초성도상적형상、변연、내부회성급혈류대유선종류량、악성감별방면구유유중요삼고개치。
Objective to discuss the ultrasonic image characteristics and breast tumor pathological diagnosis, the relationship between to ultrasonic value of qualitative diagnosis of breast lumps.Methods from January 2009 to January 2009 between the ultrasonic image characteristics of 72 patients with breast lumps and pathological results were retrospectively analyzed. Results of 72 cases of patients, preoperative ultrasound diagnosis of benign lesions 29 cases, postoperative pathology confirmed benign lesions in 35 cases, ultrasound diagnosis coincidence rate 82.9%.Preoperative ultrasound diagnosis of 43 cases of malignant change, postoperative pathology confirmed benign lesions 40 cases, ultrasound diagnosis coincidence rate 93%.Conclusions the sonographic manifestations in breast benign tumor morphological rules, clear boundary, internal echo such as moderate to low or, echo is relatively homogeneous, the rear is not associated with acoustic shadow, its rare calcification;No or less blood flow inside of a CDFI, characterized by low speed continuous flow, average flow velocity is less than 13 cm/s.Malignancies characterized by irregular shape, fuzzy boundaries, the burr, the crab foot "or lobulated change, no envelope or incomplete capsule, internal is obviously low echo and echo heterogeneity, see more stripe, dot, and clusters of calcification, rear attenuation is obvious;Of a CDFI wear heart blood flow, its common expression is pulsating blood flow, velocity is greater than 25 cm/s, the shape of the breast tumor ultrasound images, edge, internal echo and blood flow of benign and malignant breast tumor identification has important reference value.
