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目的:探索分析彩色多普勒超声在乳腺实质性病灶中的血流信号及超声特点。方法:选择2014年2月~2015年2月期间在我院进行治疗的50例乳腺纤维瘤患者为研究对象,采用彩色多普勒超声进行临床检查,分析患者的血流信号及超声特点。结果:肿块平均直径为1.71cm±0.32cm,其中单发肿块40例,多发肿块10例,采用彩色多普勒超声确诊者45例,诊断符合率为90.0%,5例患者误诊,典型性者38例,所占比率为76.0%,超声特点为肿块的形态以规则的圆形或者椭圆形为主,边界清晰、光整,内部回声为低弱的均匀或者不均匀回声,后方增强回声。结论:典型性乳腺纤维瘤患者利用多普勒超声诊断较容易,非典型性乳腺纤维瘤需结合患者的二维声像图进行诊断和分析以降低误诊率。
Objective: To explore the characteristics of blood flow signals and ultrasound in color Doppler sonography in breast lesions. Methods: Fifty patients with breast fibroids who were treated in our hospital from February 2014 to February 2015 were selected as the study objects. Color Doppler ultrasonography was used to examine the blood flow signals and the characteristics of ultrasound. Results: The mean diameter of lumps was 1.71cm ± 0.32cm, including 40 cases of single mass and 10 cases of multiple lumps. Forty-five cases were diagnosed by color Doppler ultrasound, the diagnostic coincidence rate was 90.0%. Five cases were misdiagnosed as typical 38 cases, the ratio was 76.0%. Ultrasound was characterized by a regular round or oval shape with a clear boundary and smoothing. The internal echo was low or even and uneven, and the back enhanced the echo. Conclusion: The diagnosis of typical breast fibroids by Doppler ultrasound is relatively easy. Atypical breast fibroids need to be combined with the two-dimensional sonography of the patients for diagnosis and analysis to reduce the misdiagnosis rate.