首页|高频超声与钼靶X线联合检查鉴别诊断浆细胞性乳腺炎和肉芽肿乳腺炎的效能

高频超声与钼靶X线联合检查鉴别诊断浆细胞性乳腺炎和肉芽肿乳腺炎的效能

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目的:探讨高频超声与钼靶 X 线联合检查鉴别诊断浆细胞性乳腺炎和肉芽肿乳腺炎的效能,以期为临床早期诊断、制定治疗方案提供参考.方法:选取郑州市中医院 2022 年5 月至2023 年5 月收治的 100 例乳腺炎患者,均行高频超声、钼靶 X 线检查.以病理学最终检查结果为"金标准",比较浆细胞性乳腺炎与肉芽肿乳腺炎的超声影像特征;比较高频超声、钼靶X线单独检查及联合检查鉴别诊断结果和诊断效能.结果:经病理检查结果显示,100 例乳腺炎患者中,浆细胞性乳腺炎 68 例,肉芽肿乳腺炎 32 例;经高频超声检查结果显示,浆细胞性乳腺炎 56 例,肉芽肿乳腺炎 44例;经钼靶X线检查结果显示,浆细胞性乳腺炎 54 例,肉芽肿乳腺炎 46 例;高频超声与钼靶X线联合检查结果显示,浆细胞性乳腺炎 67 例,肉芽肿乳腺炎 33 例.浆细胞性乳腺炎与肉芽肿乳腺炎的超声影像特征中肿块区域、体表瘘口、对侧导管扩张、腋窝下淋巴结比较,差异有统计学意义(P<0.05);高频超声与钼靶 X 线联合检查鉴别诊断浆细胞性乳腺炎和肉芽肿乳腺炎的灵敏度为 94.12%(64/68)、准确度为93.00%(93/100),高于高频超声单独检查的灵敏度 79.41%(54/68)、准确度 84.00%(84/100)及钼靶X线单独检查的灵敏度 75.00%(51/68)、准确度 80.00%(80/100),联合检查的漏诊率为 5.88%(4/68),低于高频超声单独检查的 20.59%(14/68)及钼靶X线单独检查的 25.00%(17/68)(P<0.05).结论:高频超声与钼靶X线联合检查鉴别诊断浆细胞性乳腺炎、肉芽肿乳腺炎具有较高的诊断效能,可用于临床早期鉴别诊断乳腺炎类型,为针对性制定治疗方案提供参考,有助于改善乳腺炎的预后.
Efficiency of high-frequency ultrasound combined with mammography in the differential diagnosis of plasmocytic mastitis and granulomatous mastitis
Objective:To investigate the differential diagnosis of plasma cell mastitis and granulomatous mastitis by high-frequency ultrasound combined with molybdenum target X-ray,in order to provide reference for early clinical diagnosis and treatment.Methods:100 cases of mastitis treated in Zhengzhou Hospital of Traditional Chinese Medicine from May 2022 to May 2023 were examined by high-frequency ultrasound and molybdenum target X-ray.Using the final pathological examination results as the"gold standard",the ultrasonographic features of plasmocytic mastitis and granulomatous mastitis were compared.The differential diagnosis results and diagnostic efficiency of high frequency ultrasound,molybdenum target X-ray and combined examination were compared.Results:Pathological examination showed that 68 cases of plasma cell mastitis and 32 cases of granulomatous mastitis were among 100 cases of mastitis.The results of high-frequency ultrasonography showed that there were 56 cases of plasma cell mastitis and 44 cases of granulomatous mastitis.Molybdenum target X-ray examination results showed that 54 cases of plasma cell mastitis and 46 cases of granulomatous mastitis.The combined results of high-frequency ultrasound and molybdenum target X-ray showed that 67 cases of plasma cell mastitis and 33 cases of granulomatous mastitis.There were statistically significant differences between plasmocytic mastitis and granulomatous mastitis in the ultrasonographic features of mass area,surface fistula,contralateral catheter dilation,and subaxillary lymph nodes(P<0.05).The sensitivity(94.12%)and accuracy(93.00%)of high-frequency ultrasound combined with molybdenum target X-ray in the differential diagnosis of plasmocytic mastitis and granulomatous mastitis were 64/68,93.00%(93/100).The sensitivity and accuracy were 79.41%(54/68)and 84.00%(84/100)respectively,and the sensitivity and accuracy of molybdenum target X-ray examination were 75.00%(51/68)and 80.00%(80/100)respectively.The missed diagnosis rate of combined examination was 5.88%(4/68).It was lower than that of high frequency ultrasound alone(20.59%(14/68)and molybdenum target X-ray alone(25.00%(17/68)(P<0.05).Conclusion:High frequency ultrasound combined with molybdenum target X-ray examination has high diagnostic efficacy in the differential diagnosis of plasmocytic mastitis and granulomatous mastitis,which can be used for the early diagnosis of mastitis,providing reference for the targeted treatment plan,and contributing to the improvement of the prognosis of mastitis.

Plasma cell mastitisGranulomatous mastitisHigh-frequency ultrasoundMolybdenum target X-ray

刘慧珍、马洪宇、李政、朱云

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郑州市中医院功能科,河南 郑州 450000

郑州市中医院放射科,河南 郑州 450000

郑州市中医院乳腺科,河南 郑州 450000

浆细胞性乳腺炎 肉芽肿乳腺炎 高频超声 钼靶X线

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(6)