董莉　宁荣萍

[摘要] 目的 研究彩色多普勒超声对乳腺肿块诊断价值的临床研究。 方法 整群选取该院2014年1月—2015年1月收治的86例乳腺肿块患者作为研究对象，在患者知情同意下对其临床多普勒彩超诊断资料进行研究分析，经临床病理学诊断结果确诊乳腺肿块类型。 结果 86例患者中经过临床彩色多普勒超声诊断发现其中良性39例，恶性44例，检测准确率为96.51%。其中良性39例患者中血流情况等级比较其RI在0.41～0.65之间；恶性44例患者中血流情况等级比较其RI在0.72～0.89之间。 结论 采用彩色多普勒超声对乳腺肿块患者进行临床检测，其准确率较高，并且可以对患者的肿块边缘、轮廓、薄膜、回声等临床指标进行检测，从而进一步提高临床诊断率，确定患者乳腺肿块的情况，具有临床应用及推广价值。

[关键词] 彩色多普勒超声；乳腺肿块；诊断价值

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）02（b）-0173-02

[Abstract] Objective To research the diagnostic value of color Doppler ultrasound for breast mass. Methods 86 cases of patients with breast mass treated in our hospital from January 2014 to January 2015 were selected as the research object and the clinical diagnostic data of Doppler ultrasound were researched and analyzed with the patients informed consent， the breast mass type was diagnosed by the clinical pathology diagnostic result. Results Clinical color Doppler ultrasound diagnosis showed that in the 86 cases of patients， 39 cases were benign， 44 cases were malignant， the detection accuracy rate was 96.51%， the blood flow level comparison showed that the RI of 39 benign cases was between 0.41 and 0.65 and the RI of 44 malignant cases was between 0.72 and 0.89. Conclusion The accuracy rate of color Doppler ultrasound in the clinical detection of patients with breast mass is high， and it can detect the patients clinical indicators such as mass margin， outline， film and echo thus further improving the clinical diagnostic rate and making sure the patients breast mass condition， which is worth clinical application and promotion.

[Key words] Color Doppler ultrasound； Breast mass； Diagnostic value

乳腺肿块是女性乳房疾病中常见的一种临床疾病，由于女性乳房本身处于一种凹凸不平的状态，因此，在日常生活中许多女性患者无法第一时间发现自身乳房中存在乳腺肿块，一般认为其为正常乳房结构中的乳腺突出状态，不能够及时的进行就诊[1]。近几年随着女性健康观念的逐渐改变，人们更加重视女性的健康，对其乳腺肿块的检测率也逐年增加[2]。该研究中主要对该院2014年1月—2015年1月收治的86例乳腺肿块患者的临床彩色多普勒超声诊断资料进行临床分析，研究彩色多普勒超声对乳腺肿块诊断的临床价值，现报道如下。……