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超声结合钼靶摄影在乳腺肿物良恶性鉴别中的价值
引用本文:杨瑞敏,崔书君,李健,吕艳春.超声结合钼靶摄影在乳腺肿物良恶性鉴别中的价值[J].河北北方学院学报(医学版),2003,20(6):1-3.
作者姓名:杨瑞敏  崔书君  李健  吕艳春
作者单位:张家口医学院第一附属医院B超室,075000
摘    要:目的 :明确良恶性乳腺肿块在超声中的鉴别征象 ;评价超声结合钼靶摄影后在乳腺癌诊断中的价值。方法 :报告乳腺肿块病例 72例 ,包括乳腺癌 4 0例 ,良性病变 32例 ,均行超声检查 ,其中 6 0例行钼靶摄影 .。结果 :(1)乳腺癌的超声表现 :不规则形或圆形 ,纵横比 >1,边缘毛刺 ,边缘成角 ,后方声影 ,微小钙化 ,较丰富血流、不规则血流。 (2 )超声与钼靶摄影的结果相比 ,在良恶性乳腺疾病的鉴别方面有相同价值 ,而超声更具实用性 ,在定位与转移淋巴结检出方面优于钼靶摄影。而钼靶摄影在微小钙化的检出方面优于超声。结论 :超声和钼靶摄影二者结合在发现乳腺肿块及其良恶性鉴别诊断方面有很大价值。

关 键 词:乳腺肿块  超声检查  钼靶摄影
文章编号:1005-8796(2003)06-01-03

Ultrasonographic Value in Differentiating Breast Masses
Yong Ruimin,Cui Shujun,Li Jian,et al the First Affliated hospital of Zhangjiakou Medical College,Zhangjiakou,China.Ultrasonographic Value in Differentiating Breast Masses[J].Journal of Hebei North University:Medical Edition,2003,20(6):1-3.
Authors:Yong Ruimin  Cui Shujun  Li Jian  the First Affliated hospital of Zhangjiakou Medical College  Zhangjiakou    China
Institution:Yong Ruimin,Cui Shujun,Li Jian,et al the First Affliated hospital of Zhangjiakou Medical College,Zhangjiakou,075000,China
Abstract:Objective: To study the US appearance in breast cancer and to study the value of US and mammography in differentiating of breast masses. Methods: 72 cases were collected, including breast cancer 40 cases and benign breast masses 32 cases. US were performed on all patients and mammography were performed on 60 patients. Results: 1 The US appearance of breast cancer: Round or irregular mass with spiculated border, angled border,posterior acoustic shadow, minim calcified dots ,rich blood flooding and irregular blood flooding, Etc. 2 US was comparable With mammography in terms of differential diagnosis. However, US is more practical. In locating breast mass and detecting LN metastases US is superior to mammography. In checking minim calcified dots mammography is superior to US. Conclusion The method of incorporating us with mammography is very valuable in differentiating breast masses.
Keywords:Breast masses  Ultrasonography  Mammography
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