浆细胞性乳腺炎的比较影像学分析  

Comparison of different imaging methods in diagnosis of plasma cell mastitis

作　　者：马骥[1] 王嵩[1] 王夕富[2] 王一凡[1] 

机构地区：[1]上海中医药大学附属龙华医院放射科,上海200032 [2]上海交通大学附属第一人民医院放射科,上海200032

出　　处：《实用放射学杂志》2012年第1期57-60,共4页Journal of Practical Radiology

基　　金：上海市自然科学基金资助项目（编号：11ZRl437600）上海市博士学位点建设科研项目（编号：201lBsl001）.

摘　　要：目的探讨各种影像检查办法亿浆细胞性乳腺炎诊断中的价值，提“陔病的影像诊断水”平。方法收集57例经临床病州证实为浆细胞一阵乳腺炎的病例，川顺性分析儿术前超声，CT和MRI图像，并与手术病理对照。结果定位诊断的准确率从高到低依次为CT93.1％．1、MRI82．1％、超声47．4％，CT和MRI与超声之间的后圳仃统计学意义（P〈0．05）；定性诊断的准确牢从高剑低依次为MRI100％、CT、96．6％、超声，超声89．4％，CT和MRI与趟卢之间的苊刖尤统计学意义（P〉0．05）。结论超声可作为常规方法；CT和MRI在浆细胞性乳腺炎的定化诊断准确率上明显高于超声。Objective To evaluate the diagnostic value of imaging for plasma cell mastitis（PCMJ,so that to improve the knowl edge of imaging diagnosis of the PCM. Methods The preoperative uhrasound, CT and MRI data of fifty seven patienls with PCM confirmed hyclinical pathology were retrospeclivelyanalyzed and compared whh the results of surgical pathology. Results Thediag nostic accurate rates in localized the lesions were ,93. 1%, 82. 1 % and 47. 4% with CT, MR imaging and uhrasound, respectively. There was statistically significant difference between CT, MR imaging and uhrasound （P〈0.05） ;while the qualitative diagnostic ac curate rates were 100%,96.6%and 89.4%wilh CT,MR imaging and ultrasound, respectively, there was no significant differenee between them （P2〉0.05）. Conclusion Uhrasound can he used as the conventional examination for PCM. The diagnostic accuracy in localizing PCM with CT and MR imaging is significantly higher than that with uhrasound.

关 键 词：乳腺 浆细胞性乳腺炎 体联摄影术 X线计算机 磁共振成像 超声 

分 类 号：R655.8[医药卫生—外科学] R814.42[医药卫生—临床医学]