乳腺常见肿瘤的良恶性彩超鉴别诊断

目的：探讨彩超在乳腺常见良恶性肿瘤鉴别诊断方面的应用价值。方法：选取120例经手术病检为乳腺良恶性肿瘤患者，依据肿块声像学特点和血流参数来鉴别诊断。结果：通过二维超声像图鉴别乳腺常见肿瘤的检出率明显低于二维超声像图结合多普勒超声血流特点鉴别疾病的检出率。与金标准手术病检结果相比，A 组二维超声像图鉴别结果的灵敏度为76.1%明显低于 B 组的92.5%，差异有统计学意义。结论：应用二维超声像图来鉴别乳腺常见肿瘤的灵敏度和特异度不高，但是应用彩色多普勒超声，结合二维超声像图和血流特点来鉴别常见乳腺肿瘤，灵敏度和特异度高，是早期乳腺常见肿瘤诊断的有效方法。

Color Doppler ultrasound of the Breast in the Diagnosis of Common malignant tumors

Objective： To observe the differences of treatment and medical costs between ＂hospital-communi- ty-family＂ tertiary rehabilitation and hospitals continued treatment and rehabilitation at home in the acute phase of stroke. Methods： Randomly selected 101 cases of stroke patients were divided into three groups. Group A： 30 patients treated in ＂hospital- community-family＂ tertiary rehabilitation large hospitals, Group C： 41 patients from General Hospital agencies; Group B： 30 patients continuously treated in internal medicine directly into family therapy. Three groups assessed with the Barthel index, simplified Fugl-Meyer scale, Community Extremity Disabihty Assessment Schedule （CEDA） before and 3 months, 6 months after treatment respectively, compared differences of the three groups of ADL, motor function, and returning to society. At the same time, the costs were investigated as well. Results： Three groups of patients＇ ADL score and simplified Fugl-Meyer score and CEDA score was no significant difference （P〉 0.05） before treatment. Differences between group A and group B above indicators were no significant difference （P〉0.05） in 3 months and 6 months after treatment. Differences between group A and group C above indicators was statistically significant （P〈0.05）. Group A in treatment cost less than group B. Conclusion： ＂Hospital-community- family＂ tertiary rehabilitation and hospitals continued treatment can improve the ADL and motor function in stroke patients, reducing their physical disability. Tertiary rehabilitation enjoys the price advantage as to the costs of treatment.