浆细胞性乳腺炎MSCT细化分型在临床治疗计划中的应用  

Evaluation of refined imaging classification of PCM with multi-slice spiral CT for clinical application

作　　者：马海峰[1] 王嵩[1] 王夕富[1] 赵秋枫[1] 徐冰[1] 

机构地区：[1]上海中医药大学附属龙华医院放射科,200032

出　　处：《上海医学影像》2009年第4期280-282,共3页Shanghai Medical Imaging

基　　金：上海市教委科研项目(项目编号:05CZ11)

摘　　要：目的探讨多层螺旋CT(multi-slice spiralCT,MSCT)影像学细化分型在浆细胞性乳腺炎(Plasma Cell Mastitis,PCM;简称浆乳)治疗计划中的应用价值。方法对63例浆乳的患者行MSCT检查,其中57例行平扫及增强检查,共8例(包括2例为平扫及增强患者)患者行CT瘘管造影检查。通过与临床治疗方案及随访结果对照,回顾性分析并细化影像学分型。结果63例PCM患者的影像学细化分型共7型,其中晕周型10例,浅表性单象限型7例,象限型15例,单发脓肿型9例,多发脓肿型11例,瘘管型6例,混合型5例。针对不同细化分型采取对应的治疗方案,一次治愈率为96.8%。结论MSCT影像能显示PCM病变的位置、范围、浸润深度以及与周围组织关系等情况,细化影像学分型对于指导临床选择治疗方案有重要意义,可作为PCM治疗前评价首选检查方法。Objective To evaluate the value of refined imaging classification of PCM with multi-slice spiral CT for guiding the choice of clinical treatment plan.Material and Methods 63 patients with PCM had taken MSCT scan.In which,57 patients had taken plan and enhanced scan,and 8 patients had taken CT fistulography.Comparing with clinical treatment plan and follow-up results,the CT images were analyzed retrospectively and imaging classification was refined.Results The refined imaging classification of plasma cell mastitis could be divided into 7 types：peri-areola type（10 cases）,superficial single quadrant type（7 cases）,multi-quadrant type（15 cases）,mono-abscess type（9 cases）,multi-abscess type（11 types）,fistulae type（6 cases）,and mixed type（5 cases）.By taking the corresponding treatment plan to different types,the one time healing rate was 96.8%.Conclusion MSCT can exhibit the PCM＇s location,latitude,infiltration depth,and the relationship with surrounding tissues.The refined imaging classification is significantly important for choosing treatment plan,and can be the first choice for pretherapy evaluation.

关 键 词：体层摄影术 X线计算机 浆细胞性乳腺炎 分型 

分 类 号：R735.2[医药卫生—肿瘤] R655.8[医药卫生—临床医学]