彩色多普勒超声在乳腺良恶性肿瘤鉴别诊断中的临床价值

Clinical Value of Color Doppler Ultrasound in the Differential Diagnosis of Breast Tumors

目的:探讨彩色多普勒超声在乳腺病灶中的血流信号及超声特点,评价其在乳腺良恶性肿瘤鉴别诊断中的价值。方法:采用二维超声、彩色多普勒血流成像技术及能量多普勒技术对200例乳腺肿瘤患者进行超声检查,分析病变的声像图特点及血流信号分布、与周围组织关系等,并与术后病理结果对照。结果:200例肿瘤患者,其中病理诊断为良性肿瘤157例,恶性肿瘤43例,两者在边界和后方回声、纵横比例、有无钙化、血流信号分布四方面比较有明显差异。结论:乳腺良恶性肿瘤在彩色多普勒超声上有其特征性表现,可作为鉴别诊断的重要依据。

Objective：To evaluate the value of color Doppler ultrasound in the differential diagnosis of breast tumors.Method：200 nodes were evaluated with two-dimensional ultrasonic,color Doppler flow imaging,color Doppler energy for analyizing the breast tumors,the results were compared with pathology.Result：Pathological examination showed that 157 nodules were benign and 43 nodules were malignant,they were different in the location,shape,posterior echoes,axial transverse ration,calcification and Doppler signals of penetrating vessels.Conclusion：Breast benign and malignant tumor on the color Doppler ultrasound has its characteristic,and can be used as the important basis of differential diagnosis.