Clinical Value of Two-dimensional Ultrasound and Color Doppler Ultrasound in the Diagnosis of Breast Masses
Objective To analyze the clinical value of two-dimensional ultrasound and color Doppler ultrasound in the diagnosis of breast masses.Methods A total of 60 patients with breast masses diagnosed and treated in our hospital from 2021 to 2023 were selected as the research objects,and the pathological diagnosis was taken as the standard(35 cases of benign and 25 cases of malignant).All patients were examined by two-dimensional ultrasound and color Doppler ultrasound.The diagnostic efficacy of different examination methods for breast masses(sensitivity,specificity,accuracy,positive predictive value,negative predictive value),the consistency of accurate diagnosis results with pathological results,the ultrasonic imaging characteristics of benign and malignant breast masses,blood flow signal grading and hemodynamic parameters were observed.Results The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of color Doppler ultrasound in the diagnosis of breast masses were higher than those of two-dimensional ultrasound(P＜0.05).The accurate results of color Doppler ultrasound in the diagnosis of breast masses were highly consistent with the pathological results,and the consistency was higher than that of two-dimensional ultrasound(P＜0.05).The proportion of irregular shape and unclear boundary of malignant breast masses was higher than that of benign breast masses,and the proportion of uniform internal echo,posterior echo enhancement and lateral acoustic shadow attenuation was lower than that of benign breast masses(P＜0.05).The proportions of grade Ⅱ and grade Ⅲ blood flow signals of malignant breast masses were higher than those of benign breast masses,and the proportion of grade 0 blood flow signals was lower than that of benign breast masses(P＜0.05).There was no significant difference in the proportion of grade Ⅰ blood flow signals between malignant breast masses and benign breast masses(P＞0.05).The peak systolic velocity(PSV)and vascular resistance index(RI)of malignant breast masses were higher than those of benign breast masses(P＜0.05).Conclusion Two-dimensional ultrasound and color Doppler ultrasound have certain clinical value in the diagnosis of breast masses,but relatively speaking,color Doppler ultrasound has higher diagnostic efficiency,and can clearly display image images,blood flow classification and hemodynamic parameters,which is conducive to the differential diagnosis of breast masses.
Two-dimensional ultrasoundColor Doppler ultrasoundDiagnostic valueBreast mass
万方数据
维普
