乳腺非肿块型病变的超声诊断探讨

摘要

目的：分析和探讨超声诊断乳腺非肿块型病变的临床价值。方法选取我院乳腺非肿块性病变患者57例。所有患者均经过手术或穿刺活检病理确诊。对患者的超声资料进行回顾性分析，并且与病理检查结果相比较。结果在57例乳腺非肿块型病变中，40例恶性病变，占70.18％；17例非恶性病变，占29.82％。片状低回声区的有43例,占75.44％；含散在微钙化的片状低回声区有14例，占24.56％。超声诊断的敏感性为81.34％，准确性为67.77％。结论对于乳腺非肿块型病变而言，超声诊断敏感性较高，准确性较低。在临床上应该结合其他的影像学检查手段来进行检查。%Objective To analyze and discuss the clinical value of ultrasonic diagnosis for non-mass breast lesions.Methods a total of 57 patients with non-mass breast lesions in our hospital were selected.All of the patients’ diagnosis was confirmed after surgery or biopsy pathology examination. The ultrasonic data of them were analyzed retrospectively, and to compare with pathological biopsy results. Results Among 57 cases of non-mass breast lesions, a total of 40 cases were malignant lesions, accounted for 70.18%; a total of 17 cases were non-malignant lesions, accounted for 29.82%. There were 43 cases (75.44%) with lfake keyed acoustic areas and 14 cases (24.56%) with scattered microcalciifcation acoustic areas. For non-mass breast lesions, the sensitivity of ultrasound diagnosis was 81.34%, the accuracy was 67.77%.Conclusion For non-mass breast lesions, ultrasound diagnosis has high sensitivity but low accuracy. It should be combined with other imaging examination method in clinical practice.