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超声造影鉴别诊断乳腺肿瘤
引用本文:王小燕,康利克,蓝春勇,黄向红,韦海明,农美芬,沈桂新,肖艳菊,董小圆,张泓柳.超声造影鉴别诊断乳腺肿瘤[J].中国医学影像技术,2010,26(10):1904-1907.
作者姓名:王小燕  康利克  蓝春勇  黄向红  韦海明  农美芬  沈桂新  肖艳菊  董小圆  张泓柳
作者单位:1. 广西壮族自治区人民医院超声科,广西,南宁,530021
2. 广西壮族自治区人民医院病理科,广西,南宁,530021
基金项目:广西科学研究与技术开发计划项目 
摘    要:目的 探讨实时超声造影检查对乳腺良、恶性病灶的鉴别诊断价值.方法 选用SonoVue超声造影剂,对109例乳腺肿瘤患者进行彩色多普勒实时超声造影,对肿瘤的增强形态、强度及造影时间-强度曲线特征进行分型,并对比分析良、恶性肿瘤超声造影的特征.结果 恶性组48例,以不均匀部分增强及整体性增强为多;良性组61例,以点状、线状和环状增强为多;恶性组高增强明显多于良性组,低增强及无增强多见于良性组;良性组的时间-强度曲线呈"缓升速降"型及"速升速降"型,恶性组呈"速升缓降"型;峰值强度及明显减退时间在两组间差异均有统计学意义(P均<0.05);超声造影诊断乳腺肿瘤的敏感度、特异度及准确率分别为100%、83.61%及90.82%.结论 乳腺良、恶性病灶在超声造影下呈现不同的造影特征;实时超声造影有助于提高乳腺肿瘤的诊断准确率.

关 键 词:乳腺肿瘤  超声检查  时间-强度曲线
收稿时间:2010/2/10 0:00:00
修稿时间:2010/7/23 0:00:00

Contrast-enhanced ultrasonography in diagnosis of benign and malignant breast neoplasms
WANG Xiao-yan,KANG Li-ke,LAN Chun-yong,HUANG Xiang-hong,WEI Hai-ming,NONG Mei-fen,SHEN Gui-xin,XIAO Yan-ju,DONG Xiao-yuan and ZHANG Hong-liu.Contrast-enhanced ultrasonography in diagnosis of benign and malignant breast neoplasms[J].Chinese Journal of Medical Imaging Technology,2010,26(10):1904-1907.
Authors:WANG Xiao-yan  KANG Li-ke  LAN Chun-yong  HUANG Xiang-hong  WEI Hai-ming  NONG Mei-fen  SHEN Gui-xin  XIAO Yan-ju  DONG Xiao-yuan and ZHANG Hong-liu
Institution:Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Pathology, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China;Department of Ultrasound, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
Keywords:Breast neoplasms  Ultrasonography  Time-intensity curve
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