彩色多普勒超声对小乳腺癌与乳腺增生结节的鉴别诊断价值

目的:探讨彩色多普勒超声在小乳腺癌与乳腺增生结节鉴别诊断中的临床应用价值。方法:抽选2013年5月-2015年8月我院行乳腺彩色多普勒超声检查的106例女性患者,按照临床检查结果分为小乳腺癌组(n=28)和如乳腺结节组(n=78),两组均采用西门子ACUSON S2000型彩色多普勒超声仪进行检查,记录并对比两组血流信号分级并对比病灶形态特征。结果:小乳腺癌组与乳腺增生结节组在血流信号分级及病灶形态特征上均存在显著统计学差异(P<0.05),小乳腺癌血流信号分级以2-3级为主,且病灶形态特征主要表现为回声不均匀衰减、形态不规则、边缘模糊及组织浸润。结论:根据彩色多普勒超声检查血流信号分级及病灶形态可有效鉴别小乳腺癌与乳腺增生结节,临床诊断价值较高。

Objective: To investigate the clinical value of color Doppler ultrasonography in the differential diagnosis of small breast cancer and mammary hyperplastic nodules. Methods: A total of 106 female patients who underwent color Doppler ultrasonography from May, 2013 to August, 2015 were divided into small breast cancer group(n = 28) and breast nodule group(n = 28) according to the clinical examination.(N = 78). The two groups were examined by Siemens ACUSON S2000 color Doppler ultrasound system. The blood flow signals were graded and compared with the morphological features of the lesions. Results: There was significant statistical difference(P <0.05) between the small breast cancer group and the mammary gland hyperplasia nodule group in the blood flow signal classification and the lesion morphological characteristics. The small blood flow signal grade of breast cancer was mainly grade 2-3, Morphological characteristics of the lesion mainly manifested as inhomogeneous echo attenuation, irregular shape, fuzzy edge and tissue infiltration. Conclusion: Color Doppler ultrasonography can be used to differentiate small breast cancer and mammary gland hyperplasia nodules, and the diagnosis value is high.