高频彩色多普勒超声对乳腺导管不典型增生及早期乳腺导管癌的诊断价值

The value of high frequency color Doppler ultrasound in the diagnosis of breast duct atypical hyperplasia and early breast ductal carcinoma

目的:探讨高频彩色多普勒超声(HCDFI)对乳腺导管不典型增生及早期乳腺导管癌的诊断价值。方法:选取乳腺体检女性病人90例,均采用HCDFI进行检查,并按照病理检查结果将其分为导管不典型增生组(ADH组)和早期乳腺导管癌组(DCIS组),各45例,另选取45例导管一般型增生病人(UDH组),比较3组影像特征。结果:随着病情进展,UDH组、ADH组及DCIS组病灶边界规则性及清晰度逐渐降低,低回声衰减和高回声晕增加,病灶周围血流逐渐增加(P<0.01)。结论:依据HCDFI检测结果可对乳腺病变情况进行良好诊断,且其检测成本较低,可作为常规检查推广。

Objective： To explore the value of high frequency color Doppler ultrasound （HCDFI） in the diagnosis of breast duct atypical hyperplasia and early breast ductal carcinoma. Methods：Ninety female patients with breast examination were detected using HCDFI, and divided into the breast duct atypical hyperplasia group（45 cases, ADH group） and early breast ductal carcinoma（45 cases, DCIS group） according to the result of pathology. Forty-five patients with general ductal hyperplasia were set as the UDH group. The image characteristics between three groups were compared. Results：With the progress of disease in UDH group, ADH group and DCIS group, the boundary regularity and clarity of lesions decreased gradually, the low echo attenuated, the high echo halo increased, and the blood flow around the lesions increased gradually（ P 〈 0.01 ）. Conclusions： The HCDFI examination can best diagnose the breast disease, the cost of which is low, and which can be promoted as a routine examination.