彩色多普勒超声对乳腺纤维腺瘤和分叶状肿瘤的鉴别诊断价值

The Value of Color Doppler Ultrasonography in Differential Diagnosis of Breast Fibroadenomas and Lobulated Tumors

目的分析和探究在对乳腺纤维腺瘤和分叶状肿瘤的鉴别过程中应用彩色多普勒超声进行诊断的临床价值。方法参与该次实验的患者,均在2016年4月—2018年9月在该院接受治疗,可将患者分为两组(甲组和乙组),其中甲组为患有乳腺纤维腺瘤的患者,共135例,乙组为患有分叶状肿瘤的患者,共62例,对两组患者实施彩色多普勒超声,并综合分析相关数据。结果甲组患者的乳腺纤维腺瘤的直径低于乙组患者的乳腺分叶状肿瘤的直径,差异有统计学意义(t=-2.969,P<0.05);两组患者的阻力指数(RI)分别为(0.56±0.07)和(0.62±0.08),差异无统计学意义(t=-1.865,P>0.05);两组患者中,出现边缘分叶的分别有43例(31.85%)和54例(87.10%),差异有统计学意义(χ^2=27.564,P<0.05);出现内部回声均匀的分别有121例(89.63%)和33例(53.23%),差异有统计学意义(χ^2=31.687,P<0.05);出现囊性变情况的分别有0例(0.00%)和9例(14.52%),差异有统计学意义(χ^2=5.264,P<0.05);血流1级分别有60例(44.44%)和6例(10.00%);血流2级分别有41例(30.37%)和12例(19.35%),血流3级分别有32例(23.70%)和24例(38.71%);血流4级分别有2例(1.48%)和20例(32.26%),差异有统计学意义(χ^2=28.412,P<0.05)。结论彩色多普勒超声对乳腺纤维腺瘤和分叶状肿瘤的鉴别诊断具有良好的效果,两种肿瘤的数据和表现存在差异性,因此彩色多普勒超声能有效鉴别两者,具有较高的临床价值。

Objective To analyze and explore the clinical value of color Doppler ultrasound in the identification of breast fibroadenomas and lobulated tumors.Methods Patients who participated in this study were treated in the hospital from April 2016 to September 2018.Patients can be divided into two groups(group A and group B).A total of 135 patients in Group A were of a breast fibroadenoma,group B were patients with lobulated tumors,a total of 62 patients,color Doppler ultrasound was performed on the two groups of patients,and comprehensive analysis of relevant data.Results The diameter of breast fibroadenomas in group A was lower than that in group B.The difference between the two groups was statistically significant(t=-2.969,P<0.05).The index(RI)were(0.56±0.07)and(0.62±0.08).There was no statistically significant difference between the two groups(t=-1.865,P>0.05).Among the two groups,there were 43 cases with marginal lobulation(31.85%)and 54 cases(87.10%),the difference was statistically significant(χ^2=27.564,P<0.05);121 cases(89.63%)and 33 cases(53.23%),the difference was statistically significant(χ^2=31.687,P<0.05)and 0 cases of cystic changes(0.00%)and 9 cases(14.52%),the difference was statistically significant(χ^2=5.264,P<0.05);60 cases(44.44%)and 6 cases(10.00%)of blood flow level 1,41 cases(30.37%)and 12 cases of blood flow level 2,respectively(19.35%),there were 32 cases(23.70%)and 24 cases(38.71%)in the blood flow level 3,and 2 cases(1.48%)and 20 cases(32.26%)in the blood flow level 4,the data of the two groups were different and statistically significant(χ^2=28.412,P<0.05).Conclusion Color Doppler ultrasound has a good effect on the differential diagnosis of breast fibroadenomas and lobulated tumors.The data and performance of the two tumors are different.Therefore,color Doppler ultrasound can effectively identify the two aspects,with high clinical value.