首页|超声弹性成像对浆细胞性乳腺炎的诊断价值分析

超声弹性成像对浆细胞性乳腺炎的诊断价值分析

Diagnostic Value of Ultrasound Elastography in Plasma Cell Mastitis

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目的 分析超声弹性成像在不同分型浆细胞性乳腺炎(PCM)中的成像特征.方法 选择2020年12月至2022年10月在我院行常规超声检查和超声弹性成像检查的90例确诊为PCM的患者,依据超声声像图分型,分析各类型超声声像图、BI-RADS分类及弹性成像评分.结果 90例PCM患者中,导管扩张型18例(20.00%)、囊实混合型32例(35.56%)、实性肿块型40例(44.44%);常规超声判定Ⅳ类+Ⅴ类共有28例(31.11%),超声弹性评分4分+5分10例(11.11%),两者之间差异具有统计学意义(x2=7.000,P<0.05),超声弹性成像能够显著提高乳腺良性病变的检出率.结论 不同分型的浆细胞性乳腺炎弹性成像特征不同,弹性成像在鉴别肿块型浆细胞性乳腺炎与浸润型导管癌中有一定价值.
Objective To investigate the imaging characteristics of ultrasound elastography in different types of plasma cell mastitis.Methods A total of 90 patients diagnosed with plasmacytic mastitis who under-went routine ultrasonography and ultrasound elastography in our hospital from December 2020 to October 2022 were selected.According to the ultrasonography classification,each type of ultrasonography,BI-RADS classi-fication and elastic imaging score were analyzed.Results Among the 90 PCM patients,there were 18 cases(20.00%)of PCM with dilated catheter,32 cases(35.56%)of PCM with mixed cyst and solid mass and 40 cases(44.44%)of PCM.A total of 28 cases(31.11%)of PCM patients in class Ⅳ+class Ⅴ were determined by routine ultrasound,and 10 cases(11.11%)of PCM patients with ultrasound elasticity score of 4+5 were determined by routine ultrasound,with significant difference and statistical significance(x2=7.000,P<0.05).Ultrasound elasticity imaging could significantly improve the detection rate of benign lesions in breast patients.Conclusion Different types of plasma cell mastitis have different elastography characteristics.Elastography is valuable in differentiating mass plasma cell mastitis from invasive ductal carcinoma.

ultrasonic elastographyPlasma cell mastitisdiagnosis

闫星、王芳

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内蒙古科技大学包头医学院研究生院,内蒙古包头 014040

内蒙古自治区人民医院超声医学科,呼和浩特 010017

超声弹性成像 浆细胞性乳腺炎 诊断

内蒙古自治区科技计划项目内蒙古自治区人民医院院内基金

2020GG0086201807

2024

内蒙古医学杂志
内蒙古自治区医学会

内蒙古医学杂志

影响因子:0.537
ISSN:1004-0951
年,卷(期):2024.56(4)