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多普勒超声显像及其引导的细针穿刺细胞学检查对乳腺肿块的鉴别诊断价值 被引量:8

Diagnostic value of doppler ultrasonic imaging and it's guiding of fine needle aspiration cytology of breast neoplasm
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摘要 目的探讨多普勒超声显像及其引导的细针穿刺细胞学检查在可触及乳腺肿块中的临床应用价值。方法术前运用二维、彩色及能量多普勒超声对127例乳腺肿块进行超声检查,分析其二维声像图、多普勒的血流特征,然后随机分为两组,分别为超声、无超声引导下细针穿刺细胞学检查,以上结果均与病理相对照。结果 127例经过病理证实,85例恶性,42例良性。根据乳腺肿块的二维声像图及彩色多普勒、能量多普勒超声对乳腺肿块的诊断,其灵敏度、特异度、准确度分别为91.8%、81.0%和88.2%,经ROC曲线分析,曲线下面积为0.864,差异具有统计学意义(P<0.01)。超声引导的细针穿刺细胞学检查对乳腺肿块的病理诊断符合率(98.0%)高于无超声引导的诊断符合率(84.2%),差异有统计学意义(P<0.05)。结论多普勒超声显像、超声引导的细针穿刺细胞学检查对诊断乳腺肿块性质有较高的实用价值。 Objective To discuss the diagnostic value of Doppler ultrasonic imaging and fine needle aspiration cytology (FNAC) that guided by it for palpable breast lesions.Methods Examined 127 breast masses were studied with gray-scale sonography,CDFI and PDI before surgery,analyzed the features of the grey scale ultrasonography and the blood stream under Doppler situation.The patients were divided into two groups randomly,one was FNAC that under the guidance of ultrasonography and the other one was simple FNAC.Above-mentioned results were all matched along with pathology.Results Compared with pathology,85 of 127 cases were malignant carcinomas,42 were benign lesions.Based on the breast neoplasm diagnosis of gray-scale sonography,CDFI and PDI,its sensitivity,specificity and accuracy were 91.8%,81.0% and 88.2% separately.Area under the curve was 0.864 by ROC analysis,it is significant for statistics (P<0.01).Pathology diagnostic accordance rate of breast neoplasm that is by ultrasound guided FNAC was 98%,it was higher than the simple FNAC (84.2%).The differences were significant (P<0.05).Conclusions Doppler ultrasonic imaging and FNAC that guided by ultrasound is very applied and valuable for diagnosing breast neoplasm.
出处 《中华临床医师杂志(电子版)》 CAS 2011年第9期2563-2566,共4页 Chinese Journal of Clinicians(Electronic Edition)
关键词 超声检查 多普勒 活组织检查 细针 乳腺肿瘤 Ultrasonography,Doppler Biopsy,fine-needle Breast neoplasms
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