乳腺导管内乳头状瘤的高频彩色多普勒超声诊断价值

The value of color Doppler ultrasonography in diagnosis of intraductal papilloma of the breast

目的探讨乳腺导管内乳头状瘤二维及彩色多普勒超声检查的临床意义。方法对乳头溢液患者进行二维及彩色多普勒超声检查,分析导管内乳头状瘤超声诊断的特点。结果 83例病理证实的导管内乳头状瘤患者的102个病灶中,彩色多普勒超声检查共发现78个(76.4%)病灶,其中49个(63%)位于乳头旁及乳晕区的大导管内,29个(37%)位于中小导管;单发病灶60例,多发病灶11例,其中10例2个病灶,1例3个病灶,12例未发现病灶。彩色多普勒超声检出血流信号11个,频谱多普勒测及动脉频谱3个,测及静脉频谱5个。结论二维及彩色多普勒超声检查可以对乳腺导管内乳头状瘤作出较明确的诊断和定位,为临床进一步诊治提供重要依据。

Objective To investigate the value of two-dimensional and color Doppler ultrasonography in diagnosis of intraductal papilloma of the breast. Methods Two-dimensional and color Doppler uhrasonography was performed in patients with nipple discharge to study the features of intraductal papilloma of the breast. Results Seventy eight lesions （76.4%） of 102 lesions in 83 patients were convinced by pathology. Forty-nine （63%） lesions were located in the segmental branch and proximal ductal system, 29 （37%） lesions were located in the distal ductal system. Blood flow was found in 11 lesions by color Doppler ultrasonography. Conclusion Two-dimensional and color Doppler ultrasonography examination can give a distinctive diagnosis and location, and provide important basis in clinical diagnosis and treatment furtherly.