彩色多普勒超声诊断乳腺良恶性病变的临床意义

The Clinical Significance of Color Doppler Ultrasound for Diagnosing Mammary Benign or Malignant Diseases

目的探讨彩色多普勒超声对乳腺良恶性病变的诊断价值。方法对185例经手术病理证实为乳腺良恶性病变的高频声像图及CDFI表现进行回顾性分析和对比。结果良性疾病血流检出率为33%,恶性为92%,两者有显著差异。良恶性病变的声像图在边界回声及形状、包膜内部回声和后壁回声及声影等方面也有显著差异。结论超声高频声像图及彩色多普勒的应用使乳腺良恶性病变的诊断及鉴别诊断符合率大大提高。

Objective To explore the diagnostic value of color Doppler ultrasound for mammary benign or malignant diseases. Methods Respective analysis and comparison were performed for high-frequency sonogram and color Doppler flow imaging（CDFI） of 185 patients who had been confirmed mammary benign or malignant disease with mammary pathology. Results There was significant difference between blood stream detection rate of mammary benign disease （33%） and malignant disease （92%）. The sonogram also had difference in border echo and shape, amicula internal and posterior wall echo and shadowing. Conclusion Ultrasound high-frequency sonogram and color Doppler could raise the coincidence of diagnosis and differential diagnosis for mammary benign and malignant diseases.