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目的 :研究乳腺术后放射状瘢痕与乳腺癌超声表现的鉴别诊断。方法 :回顾分析我院自2010年8月至2013年8月以来,于我科实施乳腺局部切除经复查超声示放射样癒痕的70例患者临床资料(研究组),及70例乳腺癌患者临床资料(对照组),两组均予高频超声检查,观察对比两组超声提示的生长方式、边缘、形状、后方回声、、回声特点、腋窝淋巴结血供情况和肿大特点,测量研究组放射状瘢痕手术前后的THC(血红蛋白总浓度)。结果 :研究组形状不规则70例(100.0%),对照组61例(87.1%),不具差异;研究组晕环征0例(0.0%),对照组56例(80.0%),差异显著;研究组肿块横切面宽度/厚度>2共60例(85.7%),对照组0例(0.0%),差异显著。结论 :乳腺术后放射状瘢痕与乳腺癌通过高频超声下敏感性指标对比,可以给临床提供诊断的可靠依据,并且能够降低重复活检,减轻患者痛苦,应予推广。
Objective: To study the differential diagnosis of radial scar and breast cancer after ultrasonic operation. Methods: A retrospective analysis of our hospital from August 2010 to August 2013 in our department to implement the local excision of the breast by the retrospective sonographic radiograph of 70 cases of clinical data (study group), and 70 cases of breast cancer patients Clinical data (control group), both groups were given high-frequency ultrasound examination was observed and compared the growth pattern of the two groups of ultrasound tips, edge, shape, posterior echo, echo characteristics, axillary lymph node blood supply and swollen features, measurement study group THC (total hemoglobin concentration) before and after radial scar surgery. Results: There were 70 cases (100.0%) in the study group and 61 cases (87.1%) in the control group. There was no difference in the study group (0%) and 56 cases (80.0%) in the control group. There were 60 cases (85.7%) in control group and 0 case (0%) in control group, the difference was significant. Conclusion: The contrast between the radial scar after breast surgery and breast cancer through high frequency ultrasound can provide a reliable basis for clinical diagnosis, and can reduce the repeated biopsy and alleviate the suffering of patients and should be promoted.