[1]胡 赢,罗小红.二维超声与彩色多普勒超声诊断乳腺肿块的临床价值[J].医学信息,2024,37(15):138-141.[doi:10.3969/j.issn.1006-1959.2024.15.032]
　HU Ying,LUO Xiao-hong.Clinical Value of Two-dimensional Ultrasound and Color Doppler Ultrasound in the Diagnosis of Breast Masses[J].Journal of Medical Information,2024,37(15):138-141.[doi:10.3969/j.issn.1006-1959.2024.15.032]
点击复制

二维超声与彩色多普勒超声诊断乳腺肿块的临床价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年15期
页码:
138-141
栏目:
诊疗技术
出版日期:
2024-08-01

文章信息/Info

Title:
Clinical Value of Two-dimensional Ultrasound and Color Doppler Ultrasound in the Diagnosis of Breast Masses
文章编号:
1006-1959（2024）15-0138-04
作者:
胡 赢; 罗小红
（宜丰县人民医院超声医学科，江西 宜丰 336300）
Author(s):
HU Ying; LUO Xiao-hong
(Department of Ultrasound Medicine,Yifeng County People’s Hospital,Yifeng 336300,Jiangxi,China)
关键词:
二维超声; 彩色多普勒超声; 诊断价值; 乳腺肿块
Keywords:
Two-dimensional ultrasound; Color Doppler ultrasound; Diagnostic value; Breast mass
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2024.15.032
文献标志码:
A
摘要:
目的 分析二维超声与彩色多普勒超声诊断乳腺肿块的临床价值。方法 选取2021-2023年我院诊治的60例乳腺肿块患者为研究对象，以病理诊断为标准（良性35例，恶性25例），所有患者均进行二维超声与彩色多普勒超声检查，观察不同检查方法对乳腺肿块的诊断效能（灵敏度、特异度、准确率、阳性预测值、阴性预测值）、诊断准确结果与病理结果一致性、良性和恶性乳腺肿块超声影像学特点、血流信号分级及血流动力参数。结果 彩色多普勒超声诊断乳腺肿块灵敏度、特异度、准确率、阳性预测值、阴性预测值均高于二维超声检查（P＜0.05）；彩色多普勒超声诊断乳腺肿块准确结果与病理结果具有高度一致性，且一致性高于二维超声诊断（P＜0.05）；恶性乳腺肿块形态不规则、边界不清晰占比高于良性乳腺肿块，内部回声均匀、后方回声增强、侧方声影衰减占比均低于良性乳腺肿块（P＜0.05）；恶性乳腺肿块血流信号Ⅱ级、Ⅲ级占比均高于良性乳腺肿块，血流信号0级占比低于良性乳腺肿块（P＜0.05），而恶性乳腺肿块血流信号Ⅰ级占比与良性乳腺肿块比较，差异无统计学意义（P＞0.05）；恶性乳腺肿块血管收缩期峰值的最大血流速度（PSV）、血管阻力指数（RI）均高于良性乳腺肿块（P＜0.05）。结论 二维超声与彩色多普勒超声诊断乳腺肿块均具有一定的临床价值，但是相对而言，彩色多普勒超声诊断效能较高，且可清晰显示影像图像、血流分级以及血流动力学参数，利于乳腺肿块的鉴别诊断。
Abstract:
Objective To analyze the clinical value of two-dimensional ultrasound and color Doppler ultrasound in the diagnosis of breast masses.Methods A total of 60 patients with breast masses diagnosed and treated in our hospital from 2021 to 2023 were selected as the research objects, and the pathological diagnosis was taken as the standard (35 cases of benign and 25 cases of malignant). All patients were examined by two-dimensional ultrasound and color Doppler ultrasound. The diagnostic efficacy of different examination methods for breast masses (sensitivity, specificity, accuracy, positive predictive value, negative predictive value), the consistency of accurate diagnosis results with pathological results, the ultrasonic imaging characteristics of benign and malignant breast masses, blood flow signal grading and hemodynamic parameters were observed.Results The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of color Doppler ultrasound in the diagnosis of breast masses were higher than those of two-dimensional ultrasound (P<0.05). The accurate results of color Doppler ultrasound in the diagnosis of breast masses were highly consistent with the pathological results, and the consistency was higher than that of two-dimensional ultrasound (P<0.05). The proportion of irregular shape and unclear boundary of malignant breast masses was higher than that of benign breast masses, and the proportion of uniform internal echo, posterior echo enhancement and lateral acoustic shadow attenuation was lower than that of benign breast masses (P<0.05). The proportions of grade Ⅱ and grade Ⅲ blood flow signals of malignant breast masses were higher than those of benign breast masses, and the proportion of grade 0 blood flow signals was lower than that of benign breast masses (P<0.05). There was no significant difference in the proportion of grade Ⅰ blood flow signals between malignant breast masses and benign breast masses (P>0.05). The peak systolic velocity (PSV) and vascular resistance index (RI) of malignant breast masses were higher than those of benign breast masses (P<0.05).Conclusion Two-dimensional ultrasound and color Doppler ultrasound have certain clinical value in the diagnosis of breast masses, but relatively speaking, color Doppler ultrasound has higher diagnostic efficiency, and can clearly display image images, blood flow classification and hemodynamic parameters, which is conducive to the differential diagnosis of breast masses.

参考文献/References:

[1]李秀萍,劳萍,徐志伟,等.超声引导下微创旋切术治疗乳腺良性肿块的临床研究[J].浙江创伤外科,2017,22(1):146-148.[2]周敏,朱峰,王小燕,等.乳腺癌早期诊断中乳腺超声检查的漏诊、误诊病例特征及影响因素的回顾性分析[J].实用临床医药杂志,2021,25(24):35-38. [3]亓琳,张欢欢,沈自芳,等.彩色多普勒超声特征对乳腺无症状炎性改变和浸润性导管癌的鉴别诊断价值[J].中国医药导报,2023,20(28):164-167.[4]丁晓玲,陶鹏.高频彩色多普勒超声联合弹性成像在乳腺癌与乳腺增生结节诊断中的应用[J].医学影像学杂志,2022,32(9):1606-1609.[5]樊娜,高鹰,魏玮,等.女性良性乳腺结节增长的影响因素研究[J].中国全科医学,2021,24(30):3799-3805.[6]杨燕贞.二维超声与彩色多普勒超声在乳腺肿块鉴别诊断中的价值分析[J].青岛医药卫生,2017,49(4):303-304.[7]付宏雁.超声弹性成像与彩色多普勒超声在BI-RADS 4级乳腺肿块中的诊断价值[J].锦州医科大学学报,2017,38(1):68-70.[8]孔丽茹,李冉,郭丽娟,等.彩色多普勒血流成像和超声弹性成像检查对乳腺良恶性肿块的鉴别诊断价值[J].癌症进展,2023,21(22):2478-2480,2499.[9]刘婷,周琦,姜珏,等.高频彩色多普勒超声及弹性成像对乳腺髓样癌的诊断价值[J].中国超声医学杂志,2017,33(12):1075-1077.[10]Barbosa A,Costa AR,Fontes F,et al.Changes in health behaviours and body mass index after a breast cancer diagnosis: results from a prospective cohort study[J].Eur J Cancer Prev,2018,28(4):330-337.[11]郭瑞芳.彩色多普勒超声在乳腺肿块性质诊断中的应用价值[J].深圳中西医结合杂志,2018，28(2):73-75.[12]杜慕萱.彩色多普勒超声用于乳腺肿块临床检查诊断中的效果分析[J].黑龙江医药,2017,30(4):897-899.[13]杨彩芳.彩色多普勒超声血流成像联合超声弹性成像对乳腺肿块的定性诊断价值[J].蚌埠医学院学报,2017,42(2):246-248,252.[14]Yeo SH,Kim GR,Lee SH,et al.Comparison of ultrasound elastography and color Doppler ultrasonography for distinguishing smalltriple negative breast cancer from fibroadenoma[J].J Ultrasound Med,2018,37(9):2135-2146.[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]卢利军.彩色多普勒超声检查鉴别诊断乳腺肿块良恶性的临床价值探讨[J].实用医技杂志,2019,26(11):1406-1408.[17]李茂谊,罗琴音,陈琛,等.超微血管成像技术在乳腺超声影像报告和数据系统4类乳腺肿块定性诊断中的应用价值[J].广西医学,2019,41(15):1902-1905.[18]Sun L,Zhu Y,Qian Q,et al.Body mass index and prognosis of breast cancer: an analysis by menstruation status when breast cancer diagnosis[J].Medicine,2018,97(26):e11220.[19]季宇,李丽,候小霞.彩色多普勒超声在乳腺肿物良恶性鉴别诊断和乳腺癌分期中的临床研究[J].陕西医学杂志,2017,46(12):1702-1703.[20]柯霓,陈文卫.乳腺良恶性结节的超声造影模式与病理学对比分析[J].武汉大学学报(医学版),2018,39(4):536-540.

相似文献/References:

[1]白玲玲.彩色多普勒超声在下肢深静脉血栓诊断中的价值[J].医学信息,2018,31(02):152.[doi:10.3969/j.issn.1006-1959.2018.02.058]
　BAI Ling-ling.Value of Color Doppler Ultrasound in the Diagnosis of Deep Vein Thrombosis of Lower Extremities[J].Journal of Medical Information,2018,31(15):152.[doi:10.3969/j.issn.1006-1959.2018.02.058]
[2]杜 丽.彩色多普勒超声诊断鉴别甲状腺良恶性肿瘤的效果评价[J].医学信息,2018,31(05):162.[doi:10.3969/j.issn.1006-1959.2018.05.059]
　DU Li.Evaluation of the Effect of Color Doppler Ultrasound in the Diagnosis and Differentiation of Benign and Malignant Thyroid Tumors[J].Journal of Medical Information,2018,31(15):162.[doi:10.3969/j.issn.1006-1959.2018.05.059]
[3]颜 艳.超声心动图在诊断二尖瓣脱垂中的应用价值[J].医学信息,2018,31(08):149.[doi:10.3969/j.issn.1006-1959.2018.08.052]
　YAN Yan.Value of Echocardiography in the Diagnosis of Mitral Valve Prolapse[J].Journal of Medical Information,2018,31(15):149.[doi:10.3969/j.issn.1006-1959.2018.08.052]
[4]郑 莉.经阴道彩色多普勒超声早期诊断宫外孕的临床价值分析[J].医学信息,2018,31(09):159.[doi:10.3969/j.issn.1006-1959.2018.09.052]
　ZHENG Li.Clinical Value of Transvaginal Color Doppler Ultrasound in the Early Diagnosis of Ectopic Pregnancy[J].Journal of Medical Information,2018,31(15):159.[doi:10.3969/j.issn.1006-1959.2018.09.052]
[5]方 静,苏建芬.宫颈内口处彩色多普勒超声诊断价值[J].医学信息,2018,31(18):152.[doi:10.3969/j.issn.1006-1959.2018.18.049]
　FANG Jing,SU JIan-fen.Diagnostic Value of Color Doppler Ultrasonography in Cervical Intraoral Region[J].Journal of Medical Information,2018,31(15):152.[doi:10.3969/j.issn.1006-1959.2018.18.049]
[6]邓星星.彩色多普勒超声和MSCTA在主动脉夹层中的影像学表现及分型检出情况[J].医学信息,2020,33(12):160.[doi:10.3969/j.issn.1006-1959.2020.12.052]
　DENG Xing-xing.Color Doppler Ultrasonography and MSCTA Imaging Findings and Type Detection in Aortic Dissection[J].Journal of Medical Information,2020,33(15):160.[doi:10.3969/j.issn.1006-1959.2020.12.052]
[7]赵克刚,周宏伟,张艳华,等.彩色多普勒超声诊断男性不育精索静脉曲张的价值[J].医学信息,2021,34(01):170.[doi:10.3969/j.issn.1006-1959.2021.01.047]
　ZHAO Ke-gang,ZHOU Hong-wei,ZHANG Yan-hua,et al.The Value of Color Doppler Ultrasound in Diagnosing Male Infertile Varicocele[J].Journal of Medical Information,2021,34(15):170.[doi:10.3969/j.issn.1006-1959.2021.01.047]
[8]孙 念,高传芬.超声对医源性股动脉假性动脉瘤及动静脉瘘的诊疗价值[J].医学信息,2021,34(12):172.[doi:10.3969/j.issn.1006-1959.2021.12.047]
　SUN Nian,GAO Chuan-fen.The Value of Ultrasound in Diagnosis and Treatment of Iatrogenic Femoral Artery Pseudoaneurysm and Arteriovenous Fistula[J].Journal of Medical Information,2021,34(15):172.[doi:10.3969/j.issn.1006-1959.2021.12.047]
[9]杨 洁,廖 萍,黄志平,等.二维超声及弹性成像预测三阴性乳腺癌新辅助化疗效果的价值[J].医学信息,2021,34(13):173.[doi:10.3969/j.issn.1006-1959.2021.13.048]
　YANG Jie,LIAO Ping,HUANG Zhi-ping,et al.The Value of Two-dimensional Ultrasound and Elastography in Predicting the Effect of Neoadjuvant Chemotherapy for Triple-negative Breast Cancer[J].Journal of Medical Information,2021,34(15):173.[doi:10.3969/j.issn.1006-1959.2021.13.048]
[10]左 磊,梅新宇,吴汉然.术前颈部淋巴结超声评估食管癌选择性三野清扫术的价值[J].医学信息,2021,34(14):87.[doi:10.3969/j.issn.1006-1959.2021.14.024]
　ZUO Lei,MEI Xin-yu,WU Han-ran.The Value of Preoperative Cervical Lymph Node Ultrasonography in Evaluating the Value of Selective Three-field Dissection for Esophageal Cancer[J].Journal of Medical Information,2021,34(15):87.[doi:10.3969/j.issn.1006-1959.2021.14.024]
[11]孙洪洋,刘文波,姜 阳,等.二维超声与彩色多普勒超声诊断甲状腺良恶性结节的临床应用价值[J].医学信息,2022,35(03):178.[doi:10.3969/j.issn.1006-1959.2022.03.048]
　SUN Hong-yang,LIU Wen-bo,JIANG Yang,et al.The Clinical Application Value of Two-dimensional Ultrasound and Color Doppler Ultrasoundin the Diagnosis of Benign and Malignant Thyroid Nodules[J].Journal of Medical Information,2022,35(15):178.[doi:10.3969/j.issn.1006-1959.2022.03.048]
[12]仲月琴.二维超声联合彩色多普勒超声在鉴别诊断卵巢良恶性肿瘤中的价值[J].医学信息,2023,36(20):169.[doi:10.3969/j.issn.1006-1959.2023.20.035]
　ZHONG Yue-qin.Value of Two-dimensional Ultrasound Combined with Color Doppler Ultrasound in the Differential Diagnosis of Benign and Malignant Ovarian Tumors[J].Journal of Medical Information,2023,36(15):169.[doi:10.3969/j.issn.1006-1959.2023.20.035]

更新日期/Last Update: 1900-01-01