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目的探究高频超声对乳腺癌和乳腺纤维腺瘤的鉴别诊断的价值。方法将该院2009年9月—2011年12月患有乳腺癌的25例女性患者和患有乳腺纤维腺瘤的75例女性患者作为研究对象,进行回顾性分析,分为乳腺癌组和乳腺纤维腺瘤组。对这100例患者分别进行乳腺高频超声检查,对其乳房肿块的形态、边缘回声、内部回声、后方回声作出描述及诊断。结果乳腺纤维腺瘤组患者乳房肿块较规则,基本为圆形或椭圆形,边缘较清晰、光滑,内部回声较均匀,后方回声衰减较少;乳腺癌组患者肿块较不规则,边缘较不光滑,内部回声较不均匀,后方回声不改变和增强较纤维腺瘤组无明显差异,但回声衰减稍多,差异有统计学意义(P<0.05)。结论除了个别直径较小的肿块外,乳腺高频超声检查对乳腺癌和乳腺纤维腺瘤的诊断的准确率较高,是鉴别乳腺良恶性肿瘤的重要方法。
Objective To investigate the value of high frequency ultrasound in the differential diagnosis of breast cancer and breast fibroadenoma. Methods Twenty-five female patients with breast cancer from September 2009 to December 2011 and 75 female patients with breast fibroadenoma were retrospectively analyzed and divided into breast cancer group and breast cancer group Fibroadenoma group. The 100 patients were examined by high-frequency breast ultrasound, breast tumor morphology, marginal echo, internal echo, back echo description and diagnosis. Results Breast fibroadenoma group of breast tumor more regular, basically round or oval, the edge is more clear, smooth, more uniform internal echo, less attenuation of the back echo; breast cancer patients with irregular masses, the edge is not smooth , The internal echo is less uniform, the posterior echo does not change and enhance the fibroadenoma group no significant difference, but the echo attenuation slightly more, the difference was statistically significant (P <0.05). Conclusion In addition to individual small lumps, high-frequency breast ultrasound diagnosis of breast cancer and breast fibroadenoma diagnostic accuracy is high, is an important method to identify benign and malignant breast tumors.