二维及彩超诊断110例乳腺占位性病变的价值分析

目的探讨二维及彩超在乳腺占位性病变诊断中的价值。方法选择2008年1月～2010年12月我院外科住院的住院乳腺占位性病变患者110例，使用美国GEVIVID7型彩超诊断仪，探头频率7．5MHz。首先进行二维超声检查，然后观察彩色多普勒血流显示情况。结果二维超声分析显示：乳腺恶性占位纵横比高、边缘模糊、形态不规则、包膜少、内部回声不均匀、后方回声衰减增加、微小钙化及腋窝淋巴结多、挤压易变形（P〈0．05）；彩色多普勒血流显示血流分级高、新生血管内RI高（P〈0．05），彩超图像清晰度明显高于二维超声检查。结论乳腺良恶性占位性病变在二维声像图及彩色多普勒血流的表现上均有差异，对乳腺占位性病变的诊断有较大的临床应用价值。

The Value Analysis about the Diagnosis of 110 Cases in Mammary Gland Space-occupying Lesions by Two-dimensional and Color Dopplar Ultrasound

Objective To explore the diagnosis value of breast space-occupying lesions by dimensional ultrasound and color dopplar ultrasound. Methods To select 110 cases mammary gland space-occupying lesions in our hospital, and to use PHILPIE33 color dopplar ultrasound diagnostic instrument, probe frequency 7.5MHz.Firstly in two-dimensionaluhrasound examination and then observe the color doppler shows. Results Two-dimensional ultrasound analysis showed： breast malignant lesion high, edge blur, form irregular, coated less, internal echoesuneven, posterior acoustic failure increases, microcalcification and axillary lymph node dissection, squeezing more easily deformation （P 〈 0.0 5 ）. Color doppler showed： high grade blood flow, new blood flow inside RI high （P 〈 0.05 ）.Color dopplar ultrasound images was obviously distincter than two-dimensional ultrasound. Conclusion Breast benign and malignant space-occupying lesions have some differences in two-dimensional ultrasound and color doppler flow performance. They have great reference value in clinical applications about mammary gland space-occupying lesions.