超声对乳腺占位性病变的诊断价值及引导下活检的应用

The value of ultrasound diagnosis of breast space-occupying lesions and the application of biopsy under the ultrasound guidance

目的探讨乳腺占位性病变超声诊断及超声引导下活检的临床意义。方法利用超声对临床诊断为乳腺肿块的208例患者检查及超声引导下细针抽吸细胞学活检。结果乳腺肿块检查以二维超声检查为主,频谱多普勒、彩色多普勒血流图起协助作用,乳腺肿块以良性肿瘤为多发。本组208例,其中囊性增生102例,腺瘤样增生51例,纤维腺瘤49例,肉芽肿性乳腺炎2例,乳腺癌4例。其中误诊3例。结论超声对乳腺占位性病变诊断及引导下活检具有较高的临床诊断意义,正确认识有利于临床治疗,减轻患者痛苦,为治疗疾病争取时间。

Objective To investigate the clinical significance of the ultrasound diagnosis and guided biopsy for space-occupying lesions of breast.Methods Using ultrasound,two hundred and eight patients with clinical diagnosis of breast lumps were examined and fine needle aspiration cytology biopsy was implemented.Results Examining breast lumps mainly by two-dimensional ultrasound,spectral Doppler and color Doppler flow imaging play a assisted role.Of all breast lumps,benign tumor was the most common.Of the group of 208 patients,102 cases of cystic hyperplasia,adenomatous hyperplasia in 51 cases,49 cases of fibroadenoma,2 cases of granulomatous mastitis,breast cancer in 4 cases,3 cases were misdiagnosed.Conclusion The application of ultrasound has high clinical significance in the diagnosis of space-occupying lesions of breast and guided biopsy,correct understanding will be benefitial to clinical treatment,reduce patients suffering and gain time for the treatment of diseases.