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目的观察比较乳腺癌彩色多普勒超声成像(CDFI)与超声造影(CEUS)诊断的价值。方法选取医院收治的80例可疑乳腺恶性肿块患者(后经手术切除或组织活检病理检查明确)。患者诊断前接受CDFI与CEUS对病灶检查定位进行活检,病理学检查是乳腺癌诊断是金标准。分析2种不同检查方法对诊断乳腺癌的灵敏度。结果80例患者共96个病灶,良性病灶52个,恶性病灶44个。CDFI诊断乳腺癌的灵敏度为79.5%、特异度为80.8%、准确度为80.2%;CEUS诊断的灵敏度为97.7%、特异度为96.2%、准确度为96.9%,2种检查方法各数值比较差异均有统计学意义(P<0.05)。结论 CEUS较CDFI诊断乳腺癌准确度明显提高,有效降低误诊率及漏诊率,临床应用价值较高。
Objective To compare the diagnostic value of color Doppler ultrasonography (CDFI) and contrast-enhanced ultrasound (CEUS) in breast cancer. Methods Eighty patients with suspicious breast malignancies admitted to our hospital were selected (pathologically confirmed by surgical resection or biopsy). Patients with CDFI and CEUS prior to diagnosis of lesions on the location of biopsy, pathological examination is the gold standard for the diagnosis of breast cancer. Analyze the sensitivity of two different methods to diagnose breast cancer. Results There were 96 lesions in 80 patients, 52 benign lesions and 44 malignant lesions. CDFI diagnosis of breast cancer sensitivity was 79.5%, specificity was 80.8%, accuracy was 80.2%; CEUS diagnostic sensitivity was 97.7%, specificity was 96.2%, accuracy was 96.9%, the two methods of examination of the value of the difference All were statistically significant (P <0.05). Conclusion The accuracy of CEUS in diagnosing breast cancer is significantly higher than that of CDFI, which can effectively reduce the misdiagnosis rate and misdiagnosis rate, and has higher clinical value.