[1]郑香萍,童 丽.彩色多普勒超声对乳腺疾病良恶性的诊断效能[J].医学信息,2023,36(23):129-132.[doi:10.3969/j.issn.1006-1959.2023.23.033]
　ZHENG Xiang-ping,TONG Li.Diagnostic Efficacy of Color Doppler Ultrasound in Benign and Malignant Breast Diseases[J].Journal of Medical Information,2023,36(23):129-132.[doi:10.3969/j.issn.1006-1959.2023.23.033]
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彩色多普勒超声对乳腺疾病良恶性的诊断效能()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年23期
页码:
129-132
栏目:
诊疗技术
出版日期:
2023-12-01

文章信息/Info

Title:
Diagnostic Efficacy of Color Doppler Ultrasound in Benign and Malignant Breast Diseases
文章编号:
1006-1959（2023）23-0129-04
作者:
郑香萍; 童 丽
（1.庐山市人民医院超声科，江西 庐山 332800；2.宜春市第三人民医院医技科，江西 宜春 336000）
Author(s):
ZHENG Xiang-ping; TONG Li
(1.Department of Ultrasound,Lushan People’s Hospital,Lushan 332800,Jiangxi,China;2.Department of Medical Technology,the Third People’s Hospital of Yichun City,Yichun 336000,Jiangxi,China)
关键词:
乳腺结节; 彩色多普勒超声; 声像图特点; 多普勒血流参数; 诊断准确性
Keywords:
breast nodules; Color Doppler ultrasound; The characteristics of sonogram; Doppler blood flow parameters; Diagnostic accuracy
分类号:
R445.1；R737.9
DOI:
10.3969/j.issn.1006-1959.2023.23.033
文献标志码:
A
摘要:
目的 分析彩色多普勒超声对乳腺疾病良恶性的诊断效能。方法 以2020年1月-2023年3月庐山市人民医院收治的60例乳腺结节患者为研究对象，其中良性病灶52例，恶性病灶8例。所有患者均进行彩色多普勒超声检查，比较良、恶性病灶患者的声像图特点与超声多普勒参数[血流频谱峰值速度（PSV）、搏动指数（PI）、阻力指数（RI）]，以病理学结果为金标准，分析彩色多普勒超声对乳腺疾病良恶性的诊断效能。结果 良、恶性病灶患者的声像图特点比较，差异有统计学意义（P＜0.05），其中良性病灶多表现为肿块直径小、形态规则、边界清晰、边缘无毛刺、内部回声均匀、后方回声增强、无内部血管、纵径与横径比例＜1、无钙化；恶性病灶则以肿块直径大、形态不规则、边界不清晰、边缘毛刺、内部回声不均匀、后方回声衰减、有内部血管、纵径与横径比例≥1、有钙化等特征为主。恶性病灶患者的PSV、PI、RI参数均高于良性病灶患者（P＜0.05）；彩色多普勒超声对乳腺疾病良恶性的诊断准确性为88.46%，敏感度为75.00%，特异度为86.67%。结论 彩色多普勒超声在乳腺良恶性病变鉴别中具有较高诊断效能。
Abstract:
Objective To analyze the diagnostic efficacy of color Doppler ultrasound in benign and malignant breast diseases.Methods From January 2020 to March 2023, 60 patients with breast nodules admitted to Lushan People’s Hospital were studied, including 52 patients with benign lesions and 8 patients with malignant lesions. All patients were examined by color Doppler ultrasound. The sonographic features and ultrasonic Doppler parameters [peak velocity of blood flow spectrum (PSV), pulsatility index (PI), resistance index (RI)] of patients with benign and malignant lesions were compared. The pathological results were used as the gold standard to analyze the diagnostic efficacy of color Doppler ultrasound in benign and malignant breast diseases.Results There were significant differences in the sonographic features between benign and malignant lesions (P<0.05). Benign lesions were characterized by small diameter, regular shape, clear boundary, no burr on the edge, uniform internal echo, posterior echo enhancement, no internal blood vessels, ratio of longitudinal diameter to transverse diameter <1, and no calcification. Malignant lesions were characterized by large diameter, irregular shape, unclear boundary, burr edge, uneven internal echo, posterior echo attenuation, internal blood vessels, ratio of longitudinal diameter to transverse diameter≥1, and calcification. The parameters of PSV, PI and RI in patients with malignant lesions were higher than those in patients with benign lesions (P<0.05). The diagnostic accuracy of color Doppler ultrasound for benign and malignant breast diseases was 88.46%, the sensitivity was 75.00%, and the specificity was 86.67%.Conclusion Color Doppler ultrasound has high diagnostic efficiency in the differential diagnosis of benign and malignant breast lesions.

参考文献/References:

[1]张伟平,赵蒙宇.彩色多普勒超声检查在乳腺原位癌早期诊断的应用分析[J].医学影像学杂志,2022,32(10):1830-1832.[2]梁兴明,黄世海,汪轶亭,等.钼靶X射线与彩色多普勒超声对乳腺癌的影像学特征及诊断价值比较分析[J].现代生物医学进展,2022,22(17):3319-3323.[3]徐清红,胡献金,方惠云,等.48例年轻乳腺癌患者彩色多普勒超声图像特征分析[J].皖南医学院学报,2018,37(1):67-69.[4]李转平,党苗苗.乳腺超声造影与彩色多普勒超声在乳腺肿瘤良恶性诊断中的应用价值[J].贵州医药,2022,46(4):626-627.[5]Leo J,Santiago BR,Brock MF.VP66.16: The use of colour Doppler ultrasound in cancer screening in breast nodules in Manaus, Amazon[J].Ultrasound in Obstetrics & Gynecology,2020,56(1):369.[6]王海霞,宋倩,刘景萍.彩色多普勒超声检查对乳腺癌鉴别诊断及新辅助化疗疗效评估的临床价值[J].临床和实验医学杂志,2021,20(15):1666-1669.[7]江桂琼,甘科红,陈旭玲,等.彩色多普勒超声诊断仪在乳腺叶状肿瘤诊断中的彩超表现及其应用价值分析[J].河北医学,2019,25(7):1170-1174.[8]Cassano E.Prediction of the Malignancy of a Breast Lesion Detected on Breast Ultrasound: Radiomics Applied to Clinical Practice[J].Cancers,2023,15(3):964.[9]张凌霄,杨宗利,邵娟娟.高频彩色多普勒超声联合弹性成像诊断乳腺结节的临床价值分析[J].医学影像学杂志,2021,31(6):993-996.[10]刘辉,王华,褚雯.彩色多普勒超声在乳腺癌早期诊断中的应用价值[J].癌症进展,2020,18(20):2084-2086.[11]张长军,刘百敬,任晓敏,等.超声弹性成像、彩色多普勒超声及常规超声在乳腺肿瘤诊断中的准确性对比分析[J].中国妇幼保健,2020,35(15):2919-2921.[12]Ｓniadecki M，Jaworek P,Chmielewska Z,et al.Protocol of Breast Cancer Prevention Model with Addition of Breast Ultrasound to Routine Gynecological Visits as a Chance for an Early Diagnosis and Treatment in 25 to 49-Year-Old Polish Females[J].Diagnostics,2023,13(2):227.[13]徐敏涛,李鸿超,毛爱弟.彩色多普勒超声检查对女性乳腺恶性病变的诊断价值[J].海南医学,2019,30(11):1433-1435.[14]杨璐,刘媛媛,司芩,等.乳腺癌彩色多普勒超声的声像图特征及与其分子分型的相关性探析[J].临床和实验医学杂志,2018,17(12):1317-1320.[15]石燕清,乌兰,王红春,等.高频彩色多普勒超声和弹性成像对微小乳腺癌和乳腺良性结节的鉴别诊断价值[J].癌症进展,2019,17(15):1774-1776,1820.[16]刘海燕,郑慧.高频彩色多普勒超声鉴别乳腺良恶性肿瘤:基于其灰阶声像及血流特征性分析[J].中华全科医学,2019,17(9):1551-1553.[17]张媛,陈秀平,雷蕾.彩色多普勒超声乳腺腺病与乳腺癌的对比[J].中国医疗设备,2018,33(2):19-20.[18]袁晓锋,王玉柱,魏志环.彩色多普勒超声在乳腺结节诊断中的价值[J].实用癌症杂志,2021,36(9):1477-1479.[19]Paul AR,Nasreen F,Sultana N.Role of Duplex Ultrasound for the Assessment of Malignancy in Breast Tumors[J].American Journal of Cancer Research,2019,7(4):143-149.[20]于广英.彩色多普勒超声三种成像检查技术在乳腺肿瘤定性诊断中的应用[J].实用癌症杂志,2018,33(7):1187-1189.

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更新日期/Last Update: 1900-01-01