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目的:探讨乳腺癌的超声声像图特点及临床价值。方法:回顾分析经手术病理证实的125例乳腺癌的声像图特点及彩色多普勒特点与病理进行部分对照。结果:95.8 %(120 例)形态不规则边缘蟹足样,84 %(105 例)内部回声不均匀,68 %(85 例)内部有钙化,78.4 %(98 例)有强回声边带。彩色多普勒表现肿瘤内血流信号多数是Ⅱ级～Ⅲ级。超声诊断正确率94 %(121 例)。腋下淋巴结转移癌79 例,诊断正确率94 %(79 例)。结论:乳腺癌有显著的声像图特点,彩色多普勒超声可提高诊断的正确性,区域淋巴结扫查正确率高,有助于临床分期和预后。
Objective: To investigate the characteristics and clinical value of ultrasound in breast cancer. Methods: A retrospective analysis of 125 cases of breast cancer confirmed by surgery and pathology of sonographic features and color Doppler features and pathology were partially controlled. Results: There were 95.8% (120 cases) of irregularly shaped marginal crab feet, 84% (105 cases) internal echo unevenness, 68% (85 cases) internal calcification and 78.4% (98 cases) strong echo sidebands. Color Doppler manifestations of tumor blood flow signals are mostly Ⅱ grade ~ Ⅲ grade. The correct rate of ultrasound diagnosis was 94% (121 cases). The axillary lymph node metastasis in 79 cases, the correct diagnosis rate of 94% (79 cases). Conclusion: Breast cancer has significant sonographic features. Color Doppler ultrasound can improve the correctness of diagnosis. Regional lymph node dissection has high correct rate, which is helpful to clinical staging and prognosis.