目的：探讨彩色多普勒超声在乳腺硬化性腺病（SA）的超声分类的价值。方法：回顾性分析2010年1月—2015年12月23例乳腺SA的术前彩色多普勒超声图像，对病灶的内部回声、边界、周围高回声晕、钙化灶、形态、边缘以及内部Adler血流分级进行分析，并与病理结果进行对照分析。初步归纳分类为局限型SA（LSA）与结节形成型SA（TSA)。结果：①LSA患者的平均年龄小于TSA；②SA患者误诊为恶性病变达21．74％；③在周围高回声声晕、钙化灶和内部血流上的检出率差异无统计学意义（P分别0.812、0.584、0.606，P>0.05）；在内部回声、形态、边缘、边界的检出率差异有统计学意义（P分别为0.000、0.000、0.001、0.034，P<0.05）。结论：进一步提高对乳腺SA超声分型的声像图认识，对乳腺SA的诊断与鉴别诊断具有重要价值。
Abstract
Objective: To investigate the classificatory value of color doppler ultrasonography in breast sclerosing adenosis(SA). Methods: Preoperative sonography of 23 SA patients(pathological confirmed) from January 2010 to December 2015 were retrospectively analyzed. SA lesions were classified as localized sclerosing adenosis(LSA) or tuberous sclerosing adenosis(TSA). Results: ①The average age of LSA group was younger than TSA;②21.74% SA patients were misdiagnosed as malignant lesions; ③The detective rates of acoustic halo, focal calcification and the internal blood flow between two SA groups had no statistical significant differences(P=0.812, 0.584, 0.606, P>0.05). Meanwhile, there were statistical significant differences in internal echo, shape and margin border between two SA groups(P=0.000, 0.000, 0.001, 0.034, P<0.05). Conclusion: Further analyzation of characteristic signs from color Doppler ultrasonography is useful in classification of LAS and TAS.
关键词
乳腺疾病 /
超声检查 /
多普勒 /
彩色
Key words
Breast diseases /
Ultrasonography, Doppler, color
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