高频彩色多普勒超声在男性乳腺发育症诊断中的应用  

Diagnostic value of high frequency color Doppler ultrasound in gynecomastia

作　　者：罗开琴 彭莉[1] 邓仕军[1] 

机构地区：[1]广元市第一人民医院功能科,四川广元628017

出　　处：《海南医学》2012年第2期88-89,共2页Hainan Medical Journal

摘　　要：目的探讨高频彩色多普勒超声在男性乳腺发育症诊断中的价值。方法分析经细胞学及病理检查证实的66例男性乳腺发育症的超声表现。结果男性乳腺发育双侧6例,右侧19例,左侧41例;无血流信号55例,少许血流信号10例,较丰富血流信号1例;65例呈扇形或梭形低回声,边界清,伴腺管扩张1例;1例低回声伴蟹足样改变;1例伴同侧腋窝淋巴结肿大。结论高频彩色多普勒超声可实时显示男性乳腺,观察其范围、形态、回声、是否有腺管扩张及彩色血流信号,对男性乳腺发育症诊断有重要的价值。Objective To evaluate the diagnostic value of high frequency color Doppler ultrasound in gynecomastia.Methods Ultrasound loops of 66 patients with gynecomastia verified by pathological results of fine needle aspiration biopsies or operations were reviewed.Results Left breast is most common to be involved（41/66,62%） and bilateral-breast involvement is most rare.No blood flow signals were shown in most cases（55/66,83%）,while rich blood flow signals were seen in only one case（1/66,2%）.Benign ultrasound features of hypoechogenic fan-shaped or spindle-shaped mass with clear margins were shown in almost all the cases（65/66,98%） and malignant ultrasound appearances of axillary lymph node enlargement,crab-leg sign and mammary duct expansion were rare（each of the above was seen in only one case）.Conclusion High frequency color doppler ultrasound is useful in the diagnosis of gynecomastia by displaying the position,the blood flow signal,the echogenic density and the shape of lesions.

关 键 词：高频 彩色多普勒 超声检查 男性乳腺发育症 

分 类 号：R445.1[医药卫生—影像医学与核医学]