[1]徐琴英.彩超在乳腺实性结节良恶性鉴别诊断中的应用价值及超声征象特点[J].医学信息,2023,36(20):180-183.[doi:10.3969/j.issn.1006-1959.2023.20.038]
　XU Qin-ying.Application Value of Color Doppler Ultrasound in the Differential Diagnosis of Benign and Malignant Breast Solid Nodules and the Characteristics of Ultrasound Signs[J].Journal of Medical Information,2023,36(20):180-183.[doi:10.3969/j.issn.1006-1959.2023.20.038]
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彩超在乳腺实性结节良恶性鉴别诊断中的应用价值及超声征象特点()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年20期
页码:
180-183
栏目:
诊疗技术
出版日期:
2023-10-15

文章信息/Info

Title:
Application Value of Color Doppler Ultrasound in the Differential Diagnosis of Benign and Malignant Breast Solid Nodules and the Characteristics of Ultrasound Signs
文章编号:
1006-1959（2023）20-0180-04
作者:
徐琴英
（玉山县中医院心电图室，江西 玉山 334700）
Author(s):
XU Qin-ying
(ECG Room of Yushan County Hospital of Traditional Chinese Medicine,Yushan 334700,Jiangxi,China)
关键词:
彩超; 乳腺实性结节; 鉴别诊断; 超声征象
Keywords:
Color Doppler ultrasound; Breast solid nodules; Differential diagnosis; Ultrasonic signs
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2023.20.038
文献标志码:
A
摘要:
目的 研究彩超在乳腺实性结节良恶性鉴别诊断中的应用价值及超声征象特点。方法 选取2020年3月-2022年3月在我院诊治的82例乳腺实性结节患者为研究对象，均经手术病理确诊（良性49例，恶性33例），患者均行彩色多普勒超声检查，观察彩色多普勒超声检出情况、诊断效能（敏感度、特异度）、良恶性结节最大血流速度和阻力指数、血流信号分级、超声征象特点。结果 彩色多普勒超声检查良性结节47例，占57.32%，恶性结节35例，占42.68%；彩色多普勒超声诊断乳腺实性结节良恶性的敏感度为91.84%，特异度为93.94%；乳腺良性结节最大血流速度、阻力指数均小于恶性结节（P＜0.05）；乳腺良性结节0级、Ⅰ级血流分级占比大于恶性结节，Ⅱ级、Ⅲ级血流分级占比小于恶性结节（P＜0.05）；良性结节的边缘清晰、形态规则、内部回声分布均匀占比均高于恶性结节，微钙化、后方回声衰减率占比低于恶性结节（P＜0.05）。结论 彩超在乳腺实性结节良恶性鉴别诊断中具有重要的价值，其敏感度、特异度均大于90.00%，且良恶性结节多数可表现出显著的超声征象特征、血流信号、最大血流速度、阻力指数。
Abstract:
Objective To study the application value of color Doppler ultrasound in the differential diagnosis of benign and malignant breast solid nodules and the characteristics of ultrasound signs.Methods A total of 82 patients with solid breast nodules diagnosed and treated in our hospital from March 2020 to March 2022 were selected as the research objects. All patients were diagnosed by surgery and pathology (49 patients of benign and 33 patients of malignant). All patients were examined by color Doppler ultrasound. The detection of color Doppler ultrasound, diagnostic efficacy (sensitivity, specificity), maximum blood flow velocity and resistance index of benign and malignant nodules, blood flow signal classification, and characteristics of ultrasound signs were observed.Results Color Doppler ultrasound detected 47 cases of benign nodules, accounting for 57.32%, and 35 cases of malignant nodules, accounting for 42.68%; the sensitivity and specificity of color Doppler ultrasound in the diagnosis of benign and malignant breast solid nodules were 91.84% and 93.94%, respectively. The maximum blood flow velocity and resistance index of benign breast nodules were lower than those of malignant nodules (P<0.05). The proportion of grade 0 and grade Ⅰ blood flow grading of benign breast nodules was higher than that of malignant nodules, and the proportion of grade Ⅱ and grade Ⅲ blood flow grading was lower than that of malignant nodules (P<0.05). The proportion of clear edge, regular shape and uniform internal echo distribution of benign nodules was higher than that of malignant nodules, while the proportion of microcalcification and posterior echo attenuation rate was lower than that of malignant nodules (P<0.05).Conclusion Color Doppler ultrasound has important value in the differential diagnosis of benign and malignant breast solid nodules. Its sensitivity and specificity are greater than 90.00%, and most benign and malignant nodules can show significant ultrasound signs, such as blood flow signals, maximum blood flow velocity, and resistance index.

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更新日期/Last Update: 1900-01-01