目的探讨超声检查对乳腺癌的诊断价值。方法对2008年经手术病理证实的95例乳腺癌患者的超声检查结果进行回顾性分析。结果 95例乳腺癌患者中90例术前超声提示乳腺癌的可能性大,4例诊断为腺体增生,1例诊断为纤维腺瘤,诊断符合率94.7%。超声声像图显示:68例(71.6%)肿块形态呈蟹足状或毛刺状生长;内部均为低回声,3例中心液化坏死,呈不规则无回声暗区;23例(24.2%)肿块内可见散在沙粒样钙化灶。彩色多普勒血流显像显示:血流检出率95.8%,以Ⅱ级和Ⅲ级血流为主,占75.8%,多为高速高阻血流。结论以二维声像图为基础,注意肿块边界、内部回声和后方回声情况,同时观察彩色多普勒超声肿块血流信号的丰富程度,可以为乳腺癌的早期诊断与鉴别诊断提供依据。 Objective To investigate the diagnostic value of ultrasound in breast cancer. Methods The clinical data of 95 cases of breast cancer confirmed by surgery and pathology in 2008 were analyzed retrospectively. Results Of the 95 breast cancer patients, 90 cases were diagnosed as breast adenocarcinoma by preoperative ultrasound, 4 cases were diagnosed as glandular hyperplasia and 1 case was diagnosed as fibroadenoma. The coincidence rate was 94.7%. Echocardiography showed that 68 cases (71.6%) of tumors showed crab-like or burr-like growth, all had hypoechoic echo and 3 cases of central liquefaction necrosis with irregular anechoic dark areas. Twenty-three patients (24.2% Scattered sand-like calcification within the visible stove. Color Doppler flow imaging showed that the detection rate of blood flow was 95.8%, mainly in grade Ⅱ and Ⅲ, accounting for 75.8%, mostly high speed and high resistance blood flow. Conclusion Based on the two-dimensional sonography, attention should be paid to the tumor boundary, internal echo and posterior echo, and to observe the abundance of blood flow signals in the color Doppler sonography can provide the basis for the early diagnosis and differential diagnosis of breast cancer.