| 多普勒超声对乳腺肿块鉴别诊断的研究 |
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| 引用本文： | 景香香,刘望彭,康春松,杨永生,刘利平,袁霞萍,陈武. 多普勒超声对乳腺肿块鉴别诊断的研究[J]. 中国医学影像技术, 2003, 19(5): 552-554 |
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| 作者姓名： | 景香香 刘望彭 康春松 杨永生 刘利平 袁霞萍 陈武 |
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| 作者单位： | 山西医科大学第一医院超声科,山西,太原,030001 |
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| 摘 要： | 目的评价多普勒超声对乳腺肿块鉴别诊断的临床应用价值. 方法 60例女性患者,术前分别进行二维超声、彩色多普勒超声和能量多普勒超声检查. 结果根据肿块的二维超声图像特征边缘轮廓、包膜、侧方声影、内部回声、后壁回声、肿物后回声、组织浸润及纵横比鉴别诊断乳腺肿块的敏感度为96.7%,特异度为60%,准确度为78.3%.二维超声联合CDFI血流信号分级(恶性Ⅱ～Ⅲ级,良性0～Ⅰ级),RI≥0.7,PI≥1.1 及PDI分型(恶性Ⅲ～Ⅳ型,良性Ⅰ～Ⅱ型),CPD≥21%鉴别诊断乳腺肿块的敏感度为93.3%,特异度为83.3%,准确度为88.4%.二者比较,特异度有显著性差异(P<0.02),敏感度和准确度无显著性差异(P>0.05). 结论在二维超声的基础上联合CDFI和PDI鉴别诊断乳腺肿块,明显提高了诊断恶性乳腺肿块的正确率,有很大的临床应用价值.
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| 关 键 词： | 乳腺肿块 二维超声 彩色多普勒超声 能量多普勒超声 |
| 文章编号： | 1003-3289(2003)05-0552-03 |
| 收稿时间： | 2002-11-28 |
| 修稿时间： | 2002-11-28 |
Clinical Study on Doppler Ultrasound in Differentiation of Breast Neoplasms |
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| JING Xiang-xiang,LIU Wang-peng,KANG Chun-song,YANG Yong-sheng,LIU Li-ping,YUAN Xia-ping and CHEN Wu. Clinical Study on Doppler Ultrasound in Differentiation of Breast Neoplasms[J]. Chinese Journal of Medical Imaging Technology, 2003, 19(5): 552-554 |
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| Authors: | JING Xiang-xiang LIU Wang-peng KANG Chun-song YANG Yong-sheng LIU Li-ping YUAN Xia-ping CHEN Wu |
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| Affiliation: | Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Ultrasound,the First Hospital of Shanxi Medical University,Taiyuan 030001,China |
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| Abstract: | |
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| Keywords: | Breast neoplasms Two-dimensional ultrasound Color Doppler ultrasound Power Doppler ultrasound |
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