SonoCT复合成像及彩色多普勒血流成像对乳腺肿块的诊断价值

Diagnostic value of SonoCT and color Doppler flow imaging for breast tumors

目的 探讨Sono CT复合成像及彩色多普勒血流成像(CDFI)对乳腺肿块的诊断价值。方法 对38例乳腺肿块经SonoCT与CDFI检查并经手术病理证实的乳腺肿块进行回顾性分析。结果 Sono CT与CDFI诊断38例肿块中良性26例,与手术病理对照检出率100％。恶性12例良恶性肿块除3例手术不符合外,总符合率92.1(35／38)。SonoCT与CDFI对乳腺血管彩色血流检出率74％(28／38),良恶性肿块的动脉血流阻力指数有显著差异(P<0.01)。 结论 SonoCT与CDFI对乳腺肿块的性质、良恶性鉴别方面对临床治疗有指导意义。此检查方法可作为乳腺肿块诊断的首选方法之一。

Objective To evaluate the diagnostic value of Sono CT and color Doppler flow imaging (CDFI) in breast tumors. Methods Preoperative ultrasonography of 38 cases with breast tumor confirmed clinically and pathologically were analyzed retrospectively. Results All tumors (38/38) were detected by Sono CT and CDFI, including 26 benign tumors and 12 malignant tumors. The positive rate was 100% compared with that in pathology. The total coincidence of the tumor's character was 92.1% (35/38) except 3 cases. The detection rate of color flow in breast tumors was 74%(28/38) by Sono CT and CDFI, and the resistance Index (RI) of arterial flow in benign tumor was different from that of malignant tumor (P<0.01) significantly. Conclusion It is of guidable value clinically for Sono CT and CDFI to character and differentiate breast tumors. Sono CT and CDFI can be one of the first line methods for diagnosing breast tumors.