数字化乳腺摄影技术与彩色多普勒血流成像检查在乳房肿块型病变中的诊断价值

Diagnostic value of digital mammography and Doppler ultrasonography in breast mass lesions

目的:评价数字化乳腺摄影(full-field digital mammography,FFDM)联合彩色多普勒血流成像(color Doppler flow imaging,CDFI)在乳腺肿块诊断中的应用价值。方法:选取2020年1月—2022年1月临沂市中心医院收治的乳腺疾病患者131例,术前分别采取FFDM检查、CDFI检查、FFDM联合CDFI检查,以术后病理结果为金标准,分析联合及单一检测的检查结果。结果:病理结果显示良性病灶35个,恶性病灶98个。以病检结果为金标准,FFDM联合CDFI在乳腺肿块鉴别诊断中的灵敏度、特异度、准确率均高于FFDM、CDFI单一检查,差异有统计学意义(P<0.05)。FFMD检查乳腺恶性病灶中不规则肿块形态、毛刺及浸润肿块边缘、有钙化灶的检出率均显著高于乳腺良性病灶(P<0.05)。CDFI检查不规则、圆形肿块形态、肿块边缘(浸润、毛刺征、小分叶征)、肿块回声不均匀、有钙化灶、血流信号2级与3~4级的检出率均显著高于乳腺良性病灶(P<0.05)。结论:两种检查方式各有优势,联合应用可有效提高乳腺肿块的诊断价值,值得推广应用。

Objective To evaluate the application value of full-field digital mammography combined with color Doppler flow imaging in the diagnosis of breast masses.Methods A total of 131 patients with breast diseases admitted to Linyi Central Hospital from January 2020 to January 2022 were selected.FFDM examination,CDFI examination and FFDM combined with CDFI examination were respectively taken before surgery.The postoperative pathological results were taken as the gold standard to analyze the results of combined examination and single examination.Results Pathological results showed 35 benign lesions and 98 malignant lesions.Take the pathological results as the gold standard,the sensitivity,specificity and accuracy of FFDM combined with CDFI in the differential diagnosis of breast mass were higher than FFDM and CDFI,the difference was statistically significant(P<0.05).The detection rate of irregular mass shape,burr and infiltrating mass edge and calcification foci in breast malignant lesions by FFMD was significantly higher than that in benign lesions(P<0.05).CDFI detection rate of irregular and round mass shape,mass edge(infiltration,burr sign,small lobulation sign),uneven echo of mass,calcification foci,and blood flow signal grade 2 and grade 3 to 4 were significantly higher than that of benign breast lesions(P<0.05).Conclusion The two examination methods have their own advantages,and their combined application can effectively improve the diagnostic value of breast mass,which is worth popularizing.