乳腺肿块的彩色多普勒血流频谱形态与病理对照研究

Comparative study of color Doppler flow imaging and spectral flow Doppler with pathology in breast lumps

目的 探讨乳腺肿块的彩色多普勒血流频谱形态与其病理性质之间的相关性 ,以提高超声对乳腺肿块的诊断符合率。方法 对 116例乳腺良、恶性肿块进行彩色多普勒超声检测 ,检测结果与病理结果进行对照分析。结果 ①乳腺恶性肿块彩色多普勒血流频谱形态常表现为 :收缩期峰值速度前移 ,常出现于收缩期的前三分之一时段 ;收缩期上升及下降速度均较快 ,表现为上升波和下降波陡直 ;舒张期起始波常出现于收缩期下降波的中点以下 ,舒张末期常无血流或出现反向血流频谱。②乳腺良性肿块彩色多普勒血流频谱形态为收缩期峰值速度常居中 ,出现于收缩期的中三分之一时段 ;收缩期上升及下降速度均较慢 ,表现为上升波和下降波倾斜 ;舒张期起始波常出现于收缩期下降波的中点以上 ,舒张末期常出现血流频谱。结论 彩色多普勒血流频谱形态是鉴别乳腺良、恶性肿块的一项值得重视的指标。

Objective To evaluate the correlation of pathology with color Doppler flow imaging and spectral flow Doppler in breast lumps for raising the diagnostic rate of breast lumps.Methods One hundred and sixteen cases with breast lumps were examined by color Doppler ultrasonography in comparison with their pathological results.Results ① In the group of malignant lumps,peak wave of contractive period often appeared ahead; contractive waves rose and descend quickly; beginning wave of diastolic period often appeared below the middle point of descending wave of contractive period; the latest wave of diastolic period often did not appear or appeared contrast wave .② In the group of benign lumps,peak wave of contractive period often appeared normal; contractive waves rose and descend slowly; beginning wave of diastolic period often appeared above the middle point of descending wave of contractive period ;the latest wave of diastolic period often appeared.Conclusions Spectral flow Doppler is an important index in differential diagnosis of breast lumps.