乳腺增生症声像图表现与病理对照分析

目的:分析乳腺增生症的声像图表现,并与病理结果相对照、进行超声分型,旨在提高超声对乳腺增生症的诊断符合率。方法:分析59例乳腺增生症的二维图像特征及彩色血流信号、频谱特点,观察异常回声区形态、部位、大小、边界、有无包膜、内部回声,并与病理结果进行对照分析。结果:59例中,术前超声诊断53例,漏诊2例,误诊4例,本组诊断符合率89.8%。超声根据声像图特征分3型,即:单纯型8例,乳腺增生囊肿为主型19例,乳腺增生实质肿块型32例。结论:乳腺增生症声像图与病理结果对照具有特征性表现,能提高诊断乳腺肿块的诊断符合率,为临床提供有价值的诊断依据。

Contrast Study Between Sonographic Features and Pathological Types of Breast Hyperplasia

Objective：To analyse the sonographic feature of breast hyperplasia, and combine with the pathologieal examinations to do the ultrasonic classification, in order to raise the diagnostic rate of breast hyperplasia.Methods：Fifi-y-nine patients with breast hyperplasia were evaluated by two- dimensional ultrasonic Image, color doppler uhrasono- graphy and HFU. The abnormal-morphology of echoes, location, size, edge, well-filmed or ill-defined border, internal echoes were evaluated. The sonographic and histopathologic findings of all nodules were comparatively analyzed.Results： In 59 patients, 53 csaes were diagnosed with ultrasound before operation, 2 cases were missed injuries, 4 cases were mis- diagnosed.The diagnose accordance rate was 89.8%. According to the characteristics of ultrasonic image classification, there were 8 cases with simple type, 19 cases with cyst predominant type, 32 cases with substantial mass type. Conclusions： Breast hyperplasia and pathological examinations has specific sonographic features, which may be helpful in raising the ultrasonic diagnosis rate in bread lumps and can provides valuable method for clinical diagnosis.