乳腺肿瘤·超声检查_多普勒_彩色·病理学_

乳腺导管内乳头状瘤的高频彩色多普勒超声诊断与病理对照分析

http://www.100md.com 《中国普通现代外科进展》 2006年第3期

乳腺肿瘤·超声检查,多普勒,彩色·病理学,,乳腺肿瘤·超声检查，多普勒，彩色·病理学,【摘要】,【关键词】,1资料与方法,2结果,3讨论

     【摘要】目的：探讨乳腺导管内乳头状瘤二维及彩色多普勒超声检查的临床意义。方法：对乳头溢液患者进行二维及彩色多普勒超声检查，分析导管内乳头状瘤超声诊断的特点。结果：87例病理证实的导管内乳头状瘤患者的112个病灶中，彩色多普勒超声检查共发现86个(76.8%)病灶，其中53个(62%)位于乳头旁及乳晕区的大导管内，33个(38%)位于中小导管；单发病灶61例，多发病灶12例，其中11例为2个病灶，1例为3个病灶，14例未发现病灶。彩色多普勒超声检出血流信号9个，频谱多普勒测及动脉频谱2个，测及静脉频谱7个。结论：二维及彩色多普勒超声检查可以对乳腺导管内乳头状瘤作出较明确的诊断和定位，是乳头溢液患者病因诊断的有效手段。

     【关键词】乳腺肿瘤·超声检查，多普勒，彩色·病理学

    Value of color Doppler ultrasonography in diagnosis of intraductal papilloma of the breast

    WANG Ke,WANG Cuiyan,ZHANG Zengfang,FENG Xinzhi MA Yuxiang

    Shandong Provincial Medical Imaging Institute(Jinan 250012,China)

    【ABSTRACT】Objective:To investigate the value of twodimensional and color Doppler ultrasonography in diagnosis of intraductal papilloma of the breast.Methods:Twodimensional and color Doppler ultrasonography was performed in patients with nipple discharge to study the features of intraductal papilloma of the breast.Results:Ultrasonography found 86 lesions (76.8%) of 112 lesions in 87 patients convinced by pathology.53(62%) lesions were located in the segmental branch and proximal ductal system,33(38%) were located in the distal ductal system.Blood flow was found in 9 lesions by color Doppler ultrasonography.Conclusion:Twodimensional and color Doppler ultrasonography examination can give a distinctive diagnosis and location,and should be an useful way for patients with nipple discharge. ......

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