近红外线扫描与彩色多普勒超声对乳腺肿块诊断的临床评价

目的 比较近红外线扫描与彩色多普勒超声对乳腺肿块的诊断价值。方法 对279例来院就诊的乳腺肿块患者行近红外线扫描和彩色超声多普勒检查后手术切除肿块病检，以病检结果为基础,对两种检查方法进行对比分析。结果 182例乳腺增生性肿块近红外线扫描的诊断符合率为94．0％，彩超为84．6％（P＜0．01），前者明显优于后者，24例乳腺癌的诊断符合率前者为91．7％，后者为83．3％，虽有差异，但无统计学意义（P＞0．05）；对59例纤维腺瘤的诊断两者基本一致。两项检查相结合诊断符合率明显提高。结论 对乳腺增生性包块的诊断，近红外线扫描优于彩色多普勒超声；对乳腺癌的诊断两种检查方法难分优劣，但两种检查方法相结合可明显提高对乳腺肿块的诊断符合率。

CONTROL STUDY OF INFRA-RED LIGHT SCANNING AND COLORED ULTRASONIC DOPPLER IN DIAGNOSIS OF BREAST MASSES

Objective To estimate the value of the infra red light scanning and the colored ultrasonic Doppler in diagnosis of breast masses. Methods Two hundred and seventy nine patients with breast mass were examined with the infra red light scanning and the colored ultrasonic Doppler in our hospital.Following the two examinations the masses were resected and pathologically examined as a control. Results The conformity of the infra red light scanning with pathologic diagnosis was 94.0% in 182 hyperplasia masses, while that of the ultrasonic Doppler was 84.6%( P <0.01). The conformity of the infra red light scanning with pathology was 91.7% and that of the colored ultrasonic Doppler was 83.3%( P > 0.05). The colored ultrasonic Doppler was seemingly more effective than infra red light scanning in diagnosing 9 galactocele and 5 intraductal papilloma, but there is no significant difference( P >0.05). The conformity of the two exams with pathology in 59 fibroadenoma was almost the same.Conclusion The infra red light scanning is more effective than the colored ultrasonic Doppler in diagnosing the hyperplasia masses, there is no significant difference in diagnosing the breast cancer and the fibroadenoma between the two exams. Combined use of this two exams would increase the accurase of the breast masses.