乳腺恶性肿瘤患者的超声诊断

Clinical Study of Ultrasound Diagnosis of Breast Malignant Tumor Patients

目的探讨超声检查在诊断乳腺恶性肿瘤患者中的效果与价值。方法随机选取2013年8月至2016年2月医院收治的100例乳腺恶性肿瘤患者,所有患者均经手术病理学检查确诊,回顾性分析其临床资料与超声检查结果。结果本组患者超声诊断结果与病理学诊断结果的符合率为91.0%,其余9例因部分良性肿瘤特征显示于声像图中而导致误诊;二维声像图主要表现为腋窝淋巴结增大,和附近组织有牵拉感,后方回声衰减,带有抵触感,伴微小钙化,内部回声不均匀,肿瘤形态不规则等;经彩色多普勒监测发现92%的患者病灶内部与其周边存在血流信号,阻力指数(RI)>0.7的占74%,动脉收缩期峰值血流速度(PSV)≥17 cm/s的占78%。结论超声检查在乳腺恶性肿瘤的诊断中准确率高,可清晰观察到病灶情况。

Objective To explore the effect and value of ultrasonography in the diagnosis of breast malignant tumor. Methods Randomly selected 100 cases of breast cancer patients treated in the hospital during 2013 August to 2016 February who were diagnosed by operation and pathology, the clinical data and ultrasonic examination results were retrospectively analyzed. Results This group of patients with ultrasound diagnosis and pathologic diagnosis results accord with rate was 91.0%, and the remaining 9 cases as part of benign tumor characteristics are shown in the image and lead to misdiagnosis histological. Two-dimensional ultrasonographic manifestation of patients mainly for axillary lymph node enlargement, and nearby tissue pulling, posterior echo attenuation, with a sense of conflict, microcalcification, internal echo was inhomogeneous, the shape of the tumor was irregular etc. By color Doppler monitoring found that 92% of the patients the lesions of the internal and peripheral blood flow signal, resistance parameters （RI） 〉 0.7 accounted for 74%, the artery peak systolic velocily （PSV） more than or equal to 17 cm/s accounted for 78%. Conclusion Ultrasound examination technology has the characteristics of low cost, non- invasive, easy to operate and so on, and has strong repeatability, in the diagnosis of breast malignant tumor is high accuracy, can be clearly observed lesions..