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目的:探讨彩色多普勒超声对乳腺肿块良恶性的鉴别诊断价值。方法:抽取2013年1月-2015年1月间来我院诊治的乳腺肿块患者100例,将其彩色多普勒超声诊断结果与手术病理结果进行对比分析。结果:经手术病理结果显示,100例乳腺肿块中27例为恶性,73例为良性。与病理结果对照,彩色多普勒超声对于乳腺肿块的检出率为100%,恶性肿块的诊断准确率为88.9%,良性肿块的诊断准确率为93.2%。结论:彩色多普勒超声不仅能够明确乳腺内有无肿块,还能够清晰显示出肿块的位置、数目、大小、形态、边界及内部回声情况、有无微小钙化、肿块周围及内部血流分布,而且具有无创伤性、无辐射、检查简便迅速、价格低廉等优势,既可为良恶性的鉴别诊断提供可靠依据,又可为临床制定治疗方案提供有利的参考信息,值得临床推广应用。
Objective: To investigate the differential diagnosis of benign and malignant breast mass by color Doppler sonography. Methods: One hundred patients with breast lumps diagnosed and treated in our hospital from January 2013 to January 2015 were selected and their color Doppler ultrasound findings were compared with surgical pathology results. Results: The pathological results showed that 27 of 100 breast masses were malignant and 73 were benign. Compared with the pathological results, the detection rate of color Doppler ultrasound for breast tumor was 100%, the diagnostic accuracy of malignant tumor was 88.9%, and the diagnostic accuracy rate of benign mass was 93.2%. Conclusion: Color Doppler ultrasound can not only confirm the presence or absence of lumps in the breast, but also clearly show the mass location, number, size, shape, boundary and internal echo, with or without micro-calcification, tumor mass distribution around and inside, But also has the advantages of noninvasiveness, no radiation, simple and quick examination, low price and so on. It can not only provide a reliable basis for the differential diagnosis of benign and malignant diseases, but also provide favorable reference information for clinical treatment planning. It is worthy of clinical application.