多普勒高频超声对乳腺良性病变与微小癌的鉴别诊断价值

Value of Doppler High-Frequency Ultrasound in the Differential Diagnosis of Benign Breast Lesions and Microcarcinoma

目的探讨多普勒高频超声对乳腺良性病变与微小癌的鉴别诊断价值。方法回顾性分析2018年8月至2019年8月我院收治的乳腺微小癌患者62例(A组)与乳腺良性病变患者38例(B组)的临床资料。所有患者均经多普勒高频超声检查,以随访记录的病理结果为"金标准",评估多普勒高频超声诊断乳腺微小癌的敏感性、特异性和准确度。结果以病理结果为"金标准",多普勒高频超声诊断乳腺微小癌的敏感性为85.48%,特异性为76.32%,准确度为82.00%;A组中低回声、微钙化、边界毛糙、显示血流、血流阻力指数(RI)>0.7比例均高于B组(P <0.05)。结论多普勒高频超声对乳腺良性病变与微小癌的鉴别诊断价值较高,为制定临床治疗方案提供可靠依据,但仍存在一定局限性,必要时需结合其他检查手段确保诊断结果真实性。

Objective To explore the value of Doppler high-frequency ultrasound in the differential diagnosis of benign breast lesions and microcarcinoma. Methods The clinical data of 62 patients with breast microcarcinoma(group A) and 38 patients with benign breast lesions(group B) admitted to our hospital from August 2018 to August 2019 were retrospectively analyzed. All patients were given high-frequency ultrasound examination. Taking pathological results of follow-up records as gold standard, the sensitivity, specificity and accuracy of Doppler high-frequency ultrasound in the diagnosis of breast microcarcinoma were evaluated. Results Taking pathological results as the gold standard, the sensitivity, specificity and accuracy of Doppler high-frequency ultrasound in the diagnosis of breast microcarcinoma was respectively 85.48%, 76.32% and 82.00%. The rates of low echo, microcalcification, boundary roughness, blood flow display, and blood flow resistance index(RI) >0.7 in group A were higher than those in group B(P <0.05). Conclusions Doppler high-frequency ultrasound has higher value in the differential diagnosis of benign breast lesions and microcarcinoma, which provides a reliable basis for the development of clinical treatment plans, but still has certain limitations. If necessary, other examination methods should be combined to ensure the authenticity of the diagnosis results.