陈琼瑶+郑健玲+姚志勋

摘 要 目的：观察和评估彩色多普勒超声对乳腺癌的诊断价值。方法：对我院2013年2月—2015年5月收治的100例女性乳腺癌患者的资料进行回顾性总结，并比较他们术前彩色多普勒超声检查与术后病理确诊的结果。结果：经彩色多普勒超声诊断为乳腺癌的100例患者中，术后经病理确诊为乳腺癌者97例，诊断符合率97.00%；误诊3例，误诊率为3.00%。结论：彩色多普勒超声对乳腺癌的诊断具有较高的准确率，故它对乳腺癌具有显著的临床诊断价值。

关键词 彩色多普勒超声 乳腺癌 诊断价值 彩色多普勒血流特点

中图分类号：R737.9； R730.41 文献标识码：B 文章编号：1006-1533（2016）15-0043-03

The value of color Doppler ultrasound in the diagnosis of breast cancer*

CHEN Qiongyao， ZHENG Jianling， YAO Zhixun

（The Peoples Hospital of Chaoyang District， Shantou City， Guangdong Province， Shantou 515100， China）

ABSTRACT Objective： To observe and evaluate the value of color Doppler ultrasound in the diagnosis of breast cancer. Methods： The data from one hundred cases of female patients with breast cancer hospitalized in our hospital from February， 2013 to May， 2015 were retrospectively summarized and their diagnostic results from the examination of color Doppler ultrasound before operation and the pathological examination after surgery were compared. Results： Ninety-seven cases of breast cancer were diagnosed by pathology after surgery and the diagnostic coincidence rate between color Doppler ultrasound and pathology was as high as 97% （97/100）. Only 3 cases were misdiagnosed by color Doppler ultrasound， accounting for 3%. Conclusion： Color Doppler ultrasound possesses high accuracy in the diagnosis of breast cancer and significant value in clinical diagnosis.

KEY WORDS color Doppler ultrasound； breast cancer； diagnostic value； color Doppler flow characteristics

乳腺癌是乳腺腺上皮组织发生恶性癌变而形成的肿瘤，一般仅发生于女性。由于癌细胞易脱落，并随着血液转移种植于其他器官，发生肿瘤细胞的恶性增殖，不仅损害患者各大重要器官的功能，亦严重威胁患者的生命安全。但早期原位乳腺癌并不致命，且早期诊断为乳腺癌的患者经及时治疗，可有效提高患者的生存率，预后亦较好，故提高乳腺癌的早期诊断率意义重大。国内外学者研究表明[1-2]，彩色多普勒超声由于其具有简便、无创、价廉、重复性好等优点，越来越广泛地被应用于临床乳腺癌的诊断中。我院对100例女性乳腺癌患者术前全部进行彩色多普勒超声检查，分析总结乳腺癌患者的超声图像特征及彩色多普勒血流特点，以及彩色多普勒超声诊断乳腺癌的符合率，旨在观察和评估彩色多普勒超声对乳腺癌的诊断价值，现将结果报道如下。……