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【摘要】目的：探讨超声检查在乳腺癌诊断中的应用价值，并与手术结果对照分析。方法：应用高分辨率超声对351例乳腺肿块患者的双侧乳腺及双侧淋巴结进行检查，将检查结果进行对比分析。结果：共检测出乳腺肿块351例，其中乳腺癌46例，纤维腺瘤72例，乳腺增生202例，炎性肿块31例，良性肿块与乳腺癌之间的Vmax与RI存在显著差异。结论：彩色多普勒超声检查对乳腺肿块的诊断及鉴别诊断中有重要的应用价值。
【关键词】超声检查；乳腺癌；乳腺肿块
Clinical analysis about breast lump of 351 patients diagnosised by ultrasonic precordial
cardiography
XUE Xian-ying
（Shuyang People’s Hospital,Shuyang 223600,China）
【Abstract】Objective:To evaluate the application of ultrasonic precordial cardiography to the diagnosis of breast cancer by comparing cardiography with the surgery results.Methods:A color Doppler ultrasonic scan was carried out on both sides of the breast and lymph nodes of 351 patients with a mammary lump and the results were compared with the surgical outcome.Results: The mammary lump was confirmed by both cardiography and surgery in all of the 351 patients. 46 of them were m alignant breast cancer, 72 were fibroadenoma, 202 were hyperplasia of the mammary gland and 31 were inflammatory carcinoma. The Vman and RI were significantly different between benign and m alignant breast lumps.Conclusion:The color Doppler ultrasonic scan is a very important tool for diagnosis and classification of mammary lump patients.
【Key words】Ultrasonic precordial cardiogram；Breast cancer；Breast lump
乳腺癌是女性最常见的恶性肿瘤之一，中国抗癌协会最新统计数字显示，中国近年来乳腺癌发病率正以每年3%的速度递增，早发现早诊断乳腺癌成为提高妇女生存质量的重要课题。检查乳腺癌方法很多：乳腺钼靶X线拍片、高频彩超、乳腺导管内镜检查、MRI、组织活检等。近年来高频彩超广泛应用对乳腺癌的早发现早诊断起到了重要的
作用。现将我门诊收治乳腺肿块患者的超声征象进行分析，旨在探讨乳腺肿块的超声诊断价值。
1.资料与方法
1.1一般资料
2006年1月~2007年3月我院收治乳腺病患者，年龄17~72岁，平均44岁，自觉症状表现为乳腺胀痛、刺痛、乳腺内硬块，少数无症状，偶见乳头溢液。检出乳腺肿块351例，并经病理证实。
1.2仪器与方法
超声检查采用美国GE Logiq500彩色超声仪，高频线阵式探头，探头频率7.5 MHz，受检者取仰卧位或左右侧卧位，采用直接接触法扫描，为每例患者检查左右两侧乳腺及两侧淋巴结，观察乳腺层次结构，肿块大小、数目、纵横比、形态、边界、有无包膜、内部回声，周边及内部血流情况；双侧腋窝淋巴结、锁骨下淋巴结是否肿大，彩色多普勒（CDFI）观察肿瘤内部及周边血流分布，数目的丰富程度。用脉冲多普勒频谱检测肿块动脉血流，记录收缩期最大速度（Vmax）、阻力指数（RI）等血流参数
1.3统计学处理
以乳腺良性肿块和恶性肿块分组比较采用t检验，P
