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52例浆细胞性乳腺炎患者超声图像特征分析
作者:冯宁霞1  丁文波2  史发兰3 
单位:1. 常州市武进中医医院 功能科, 江苏 常州 213161;
2. 南京中医药大学附属中西医结合医院 超声科, 江苏 南京 210028;
3. 如皋市人民医院 普外科, 江苏 南通 226500
关键词:浆细胞性乳腺炎 超声图像 临床分期 临床分型 
分类号:R655.8;R445.1
出版年·卷·期(页码):2018·46·第六期(625-628)
摘要:

目的:分析52例浆细胞性乳腺炎患者彩色多普勒超声图像特征,为浆细胞性乳腺炎的诊断与临床治疗提供客观依据。方法:回顾性分析52例浆细胞性乳腺炎患者的超声图像,并根据相应的图像特征进行临床分期。结果:病灶呈低回声21例(40.39%),高回声8例(15.38%),不均质回声23例(44.23%);肿块最大径最小1.6 cm,最大8.9 cm,平均(3.27±0.56)cm;30例(57.69%)患侧腋下淋巴结肿大,长径最短11 mm,最长16 mm,平均(12.34±0.67)mm,纵横比均>2,呈扁圆形外形,中央有淋巴门回声;28例(53.83%)乳腺肿块探及血流信号,信号Adler血流分级以Ⅰ~Ⅱ级为主,多处于病灶中心,能测及动脉频谱,频谱收缩期低速血流,舒张期持续血流,阻力指数0.52~0.63。52例浆细胞性乳腺炎患者8例为导管扩张型,24例为肿块型,11例为囊实混合型,9例为脓肿型;临床分期急性期17例,亚急性期15例,慢性期20例。结论:浆细胞性乳腺炎超声图像有一定特征,超声能准确判断病灶形态、位置等,有助于浆细胞性乳腺炎的准确诊断。

Objective:To analyze the color Doppler ultrasonography features of 52 patients with plasma cell mastitis, and to provide an objective basis for the diagnosis and clinical treatment of plasma cell mastitis. Methods:In this study, the ultrasound images of 52 patients with plasma cell mastitis were retrospectively analyzed, then the clinical staging was performed according to the corresponding image characteristics. Results:The lesions were hypoechoic in 21 cases (40.39%), hyperechoic in 8 cases (15.38%), and heterogeneous in 23 cases (44.23%); The maximum diameter of the tumors was 1.6-8.9 cm, and the average was (3.27±0.56) cm; The axillary lymph nodes was found in 30 cases (57.69%), the long diameter of lymph nodes was 11-16 mm with an average of (12.34±0.67) mm; The L/S ratio was greater than 2; The lymph nodes was in oblate form with an echo in center; The blood flow grade of Adler was mainly Ⅰ-Ⅱ in 28 cases (53.83%); The signal was located in the lesion center; The blood stream frequency spectrum of artery, including the parameters of systolic slow velocity, diastolic velocity and resistant index (0.52-0.63) was gained respectively. Among 52 patients, Doppler ultrasonography showed that 8 patients were of ductal ectasia type, 24 patients of lumps type, 11 patients of mixed cystic and solid masses type, and 9 patients of abscess type; The clinical staging results showed 17 cases in the acute phase, 15 cases in subacute phase, 20 cases in chronic phase. Conclusion:The color Doppler ultrasonography features of plasma cell mastitis are significant, which can accurately determine the shape and location of the lesion, suggesting that the color Doppler ultrasonography is of vital importance in plasma cell mastitis diagnosis.

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