Studies On The Treatment Effect Evaluation Of The Galactophore Mammotome By Color Doppler And Contrast-Enhanced Ultrasound

XuanQieShu is mammary gland in real-time ultrasound monitoring under the guidance of ultrasound mammary gland lesions Mammotome clear using lathe cutting system and cutting, until full excision sent by pathological examination. If be benign lesions, XuanQieShu already achieved treatment purpose; As for malignant lesions, republished breast cancer underwent. During the operation, breast lesions around structural change and coagulation clot advent of confused with lesions in 2-d image cannot distinguish, thus affecting lesions excision effect of judgment.This study selected the 225 cases from December 2008 to August 2009 in daqing oil field general hospital clinic of mammary gland benign cases, preoperative through regular two-dimensional ultrasound and color doppler ultrasound imaging and lookahead mammary gland lathe cutting treatment,3 months after operation and application of ultrasonic imaging MRI assessment therapeutic effect, discusses two-dimensional ultrasound and color doppler ultrasound and contrast-enhanced ultrasonography in breast XuanQieShu treatment in the evaluation of application value, finding effective evaluation index, clinical guidance to make effective evaluation method, further improve the breast XuanQieShu therapeutic effect. By all XuanQieShu excision of mass were performed pathologic examination, determine the benign and malignant. Contrast-enhanced ultrasonography selection in base wave condition and angiography after state of time-strength curve intensity time average as the quantitative parameters, contrast this parameter in imaging before and after the difference,Color doppler observations same research object before and after the same cross-sectional images, using imaging image processing software were selected tumor within the scope and tumor color signal range, color pixel density, comparing calculation blood average color pixel before and after imaging difference;density Intraoperative respectively applied two-dimensional ultrasound and color doppler, contrast enhanced color doppler ultrasound determine how much is XuanQieShu when lesions area can be sure the performer completely, how much is cut cut completely, and suspicious record.After 3 months repeated ultrasound and nuclear magnetic resonance (NMR), nuclear magnetic resonance (NMR) gold standard, calculate the above three method determines the accuracy of the results and mri, meanwhile seek true positie,true negative rate and terengganu index parameters such as, compares three methods in difference coagulation and rotary cutting knife blood clot tumor tissue destruction of ability.Research found that preoperative ultrasonography inspection, breast lumps contrast-enhanced sonogram obtained before and after time strength curve intensity time average respectively the mean 73.47 Bd and 74.12 Bd, no significant difference between them (P>0.05).Contrast-enhanced sonogram obtained around vascular pixel density respectively (0.04+0.03) and (0.28+0.09), before-and-after difference have significant (P<0.01).In under the guidance of ultrasound mammary gland XuanQieShu, with the help of two-dimensional ultrasound in the 63.55% cases certainly only completely cut completely, while ordinary color doppler flow imaging, and raised to 68.00% only after the imaging to raise 88.89%.Explain contrast enhancement ultrasonic really can improve breast lathe cutting effect, increase the tumor resection.3 months later having an operation review, conventional two-dimensional ultrasound and color doppler ultrasound imaging and three methods respectively with the nuclear magnetic resonance (NMR) gold standard comparison, color doppler ultrasound imaging check after best effect, contrast-enhanced ultrasonography of coincidence rate, about terengganu index, sensitivity, positie predictie and negatie predictie highest, LouZhenLv lowest.By the comparative study of the preoperative and postoperative,we can think of color doppler ultrasound imaging in breast lumps diagnosis and treatment of breast XuanQieShu best effect, can more effectively determine the scope and XuanQieShu lesions in breast lesions surrounding tissues and coagulation clot differences,further improve the breast XuanQieShu therapeutic effect. Color doppler ultrasound imaging as breast lumps diagnosis and treatment of important detection means,has wide prospect of clinical application,...