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[多普勒超声对乳腺良恶性肿瘤的鉴别诊断]

[Doppler ultrasound differentiation of benign and malignant breast tumors].

作者信息

Schild R, Fendel H

机构信息

Frauenklinik der RWTH Aachen.

出版信息

Geburtshilfe Frauenheilkd. 1991 Dec;51(12):969-72. doi: 10.1055/s-2008-1026246.

DOI:10.1055/s-2008-1026246
PMID:1665464
Abstract

Before surgery we studied the blood flow in and around 59 breast tumours (35 malignant and 24 benign) and investigated a correlation with the histology. The most decisive factors were the maximum end-diastolic frequency B (probability greater than magnitude of z = 0.0009) and the mean frequency F mean (probability greater than magnitude of z = 0.0017). The maximum systolic frequency A, the resistance index Ri, the diastolic angle W and the pulsatility index Pi showed less significant differences between malignant and benign histological types. In a retrospective survey, we tried to confirm the definitive histology by our Doppler results. In this, we failed in 17.14%--of malignant cases and in 33.33% in the cases of benign tumours.

摘要

手术前,我们研究了59个乳腺肿瘤(35个恶性和24个良性)及其周围的血流情况,并研究了其与组织学的相关性。最具决定性的因素是舒张末期最大频率B(概率大于z值的幅度=0.0009)和平均频率F均值(概率大于z值的幅度=0.0017)。收缩期最大频率A、阻力指数Ri、舒张角W和搏动指数Pi在恶性和良性组织学类型之间的差异不太显著。在一项回顾性调查中,我们试图通过多普勒结果来确认最终的组织学类型。在这方面,我们在17.14%的恶性病例和33.33%的良性肿瘤病例中未能成功。

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