乳腺肿块的超声影像学表现与病理学对照分析

Pathological analyses and its ultrasonic imaging findings of breast lumps

目的探讨乳腺肿块的超声影像学表现的价值及对乳腺良、恶性肿瘤的鉴别意义。方法选取2012年5月至2014年2月河北大学附属医院收治的乳腺肿块患者,共199例作为研究对象。对所有患者进行彩色多普勒超声检查,并将其检查结果与患者的术后病理结果进行对比,观察患者的彩色多普勒超声检查结果的诊断率。结果 (1)在彩色多普勒超声检查中,共查出217个肿块。其中,良性乳腺肿块179个,恶性乳腺肿块38个。而患者的病理结果中显示有良性乳腺肿块182个,恶性乳腺肿块35个。因此,彩色多普勒超声检查的总符合率为98.62%,且差异无统计学意义(P>0.05)。(2)良性乳腺肿块与恶性乳腺肿块在超声影像中的特征差异有统计学意义(P<0.05)。结论超声影像学可以较为准确地鉴别出乳腺肿块,可以为临床治疗提供可靠性较高的诊断结果。

Objective To explore the value of ultrasound imaging findings of breast lumps and its significance to the identification of benign and malignant breast tumors. Methods 199 cases with breast lumps were selected in May 2012-February 2014 in our hospital as the research objects. All patients were examined with color doppler ultrasound, and the results were compared with postoperative pathologic results to observe the diagnosis efficiency of color doppler ultrasound. Results （1） In color doppler ultrasound examination, 217 were found lump, among them, 179 suffered from benign breast lumps, 38 malignant breast tumors; the pathological results showed 182 had benign breast lumps, 35 malignant breast tumors. Therefore, of the total coincidence rate of color doppler ultrasound examination was 98.62%, which had no statistically significant difference （P〉0.05）. （2） There was a statistically significant differences in benign breast tumors and malignant breast tumors considering characteristics of ultrasonic imaging （P〈0.05）. Conclusion Ultrasonic imaging can be applied to identify breast lumps more accuracy, which can provide reliable clinical diagnosis results for the treatment, it is worthy distribution in clinical practices.