乳腺腫塊60例在彩色多普勒超聲診斷中的分析

[摘要] 目的 探討彩色多普勒超聲在乳腺腫塊臨床診斷方面的作用。方法 選取2010年1月～2013年1月期間本院收治的60例乳腺腫塊患者，全部分別進行二維超聲、彩色多普勒超聲檢查、手術病理檢查，回顧性比較兩種超聲檢查和病理學檢查的臨床診斷資料情況。結果 二維超聲檢查診斷惡性乳腺腫塊32例，良性乳腺腫塊28例，和病理學檢查結果比較，惡性病例相符例數為28例，良性病例相符例數為10例；彩色多普勒超聲檢查診斷惡性乳腺腫塊43例，良性乳腺腫塊17例，和病理學檢查結果比較，惡性病例相符例數為42例，良性病例相符例數為13例；二維超聲檢查在臨床診斷乳腺腫塊良惡性方面，敏感度為60.87%、特異度為71.43%、準確度為63.33%；彩色多普勒超聲檢查在臨床診斷乳腺腫塊良惡性方面，敏感度為91.30%、特異度為92.86%、準確度為93.33%。彩色多普勒超聲檢查在臨床診斷乳腺腫塊良惡性方面的敏感度、特異度、準確度上均明顯優于二維超聲檢查，并具差異具有統計學意義（P<0.05）。結論 彩色多普勒超聲在乳腺腫塊臨床診斷方面具有重要臨床價值，對于乳腺腫塊的良惡性手術前判斷具有重要參考意義，值得臨床推廣使用。

[關鍵詞] 乳腺腫塊；彩色多普勒超聲；臨床診斷

[中圖分類號] R445.1 [文獻標識碼] B [文章編號] 2095-0616（2013）13-119-03

The color doppler ultrasound diagnosis analysis of 60 cases of breast lumps

XINAG Yuanying

Social Welfare Hospital in Nanning City，Guangxi Zhuang Autonomous Region， Nanning 530003，China

[Abstract] Objective To investigate the role of color doppler ultrasound in the the clinical diagnosis of breast lumps. Methods 60 patients with breast tumors from January 2010 to January 2013 of our hospital were selected，and carried out respectively by two-dimensional ultrasound，color Doppler ultrasound and surgical pathologic examination，the clinical diagnosis data of two ultrasound and pathology examination were compared retrospectively. Results In two-dimensional ultrasound diagnosis，32 cases were malignant breast tumors，28 cases were benign breast lumps，compared with the results of pathological examination，28 cases were consistent malignant cases，10 cases were consistent benign cases；in color Doppler ultrasound diagnosis，43 cases were malignant breast lumps，17 cases were benign breast lumps，compared with the results of pathological examination，42 cases were consistent malignant cases，13 cases were consistent benign cases.The sensitivity，specificity and accuracy of two-dimensional ultrasound examination in clinical diagnosis of benign and malignancy breast lumps was 60.87%， 60.87% and 63.33%；the sensitivity，specificity and accuracy of color Doppler ultrasound examination in clinical diagnosis of benign and malignancy breast lumps was 91.30%， 91.30%， 93.33%.The sensitivity，specificity and accuracy of color Doppler ultrasound examination in clinical diagnosis of benign and malignancy breast lumps were significantly superior to two-dimensional ultrasound，there was significant difference（P<0.05）. Conclusion Color Doppler ultrasound has important clinical value in clinical diagnosis of breast lumps，and has important reference significance for benign and malignant diagnosis of breast lumps，worthy of the clinical promotion.

[Key words] Breast lumps；Color Doppler ultrasound；Clinical diagnosis

乳腺腫塊是因為乳房組織構成不同，進而發生的內部腫塊性疾病，臨床發病率極高，主要分為良性、惡性兩大類[1]，在手術前了解乳房腫塊的良惡性質對于臨床治療具有重要意義。為探討彩色……