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目的： 探讨彩色多普勒超声在乳腺肿块中的诊断价值。材料和方法： 采用超９ＨＤＩＥＳＰ， 探头频率为５～１０ＭＨｚ， 直接接触法， 对１１５ 例乳腺肿块进行分析， 我们应用二维超声和彩色多普勒超声对１１５ 例乳腺肿块进行检测。结果： 良性肿块超声诊断符合率为７４－２％（４６／６２）， 误诊率为１１－３％ （７／６２）； 恶性肿块超声诊断符合率为８９％ （４７／５３）， 误诊率为２％（１／５３）。超声未定性者占８－７％ （１０／１１５）， 未发现肿块者占３－５％（４／１１５）， 乳腺恶性肿块诊断敏感性为９８％ （４７／４８）， 特异性为８７％（４６／５３）。与乳腺良性肿块相比， 恶性肿块无血流（Ｏ级） 检出率为７－５％ ， 显著低于良性肿块（５４－４％）（Ｐ＜０－００５）， 而中等至多血流（Ⅱ级）检出率显著增高（Ｐ＜０－００５）。但有部分重叠， 即有的良性肿块有多血流， 而恶性肿块反而无血流。动脉的阻力指数在恶性肿块平均为０－７４， 而在良性肿块平均为０－６３， 两者相比具有显著差异（Ｐ＜ ０－００１）， 虽然恶性肿块动脉的平均峰值流速３４－３ｃｍ／ｓ）， 比良性肿块（２４－１ｃｍ／ｓ）增加， 但两者之间不存在显著差异。结论： 彩色多普勒超声对
Objective: To explore the diagnostic value of color Doppler ultrasound in breast masses. Materials and Methods: Ultra-9HDIESP was used. The probe frequency was 5 to 10 MHz. The direct contact method was used to analyze 115 cases of breast mass. We used two-dimensional ultrasound and color Doppler ultrasound to detect 115 cases of breast mass. Results: The diagnostic accuracy of benign masses was 74-2% (46/62). The misdiagnosis rate was 11-3% (7/62). The coincidence rate of ultrasound diagnosis of malignant masses was 89% (47/53). 2% (1/53). Ultrasound indeterminate patients accounted for 8-7% (10/115). No lumps were found in 3-5% (4/115). The diagnosis of malignant breast masses was 98% (47/48). Specificity was 87%. (46/53). Compared with benign breast masses, malignant tumors have no blood flow (Grade O) detection rate of 7-5%, significantly lower than benign masses (54-4%) (P<0-005), and moderate-to-multiple blood flow ( Grade II) detection rate was significantly higher (P <0-005). However, there is a partial overlap, that is, there are multiple blood flow in some benign masses, but there is no blood flow in malignant masses. The arterial resistance index averaged 0-74 in malignant tumors and 0-63 in benign tumors. There was a significant difference between the two (P<0-001), although the average peak flow velocity of the malignant tumor artery was 34-3cm/ s), compared with benign masses (24-1cm/s), but there is no significant difference between the two. Conclusion: Color Doppler Ultrasonography