高频超声对非哺乳期乳腺炎诊断价值的探讨  

The Value of Ultrasonography in the Diagnosis of Non-lactational Mastitis

作　　者：姜丽花[1] 金清[1] 陈良[1] 许东峰[1] 

机构地区：[1]昆山市中医医院超声科,江苏昆山215300

出　　处：《中国继续医学教育》2016年第32期45-47,共3页China Continuing Medical Education

摘　　要：目的探讨非哺乳期乳腺炎的二维及超声弹性成像的特征,结合临床和病理提高对该病的正确诊断。方法回顾性分析73例经病理证实的非哺乳期乳腺炎患者,分析二维声像图及超声弹性成像的数据,结合临床表现及病理结果,归纳分析非哺乳期乳腺炎的特征性表现。结果 73例非哺乳期乳腺炎患者的平均年龄(42±10.76)岁,单侧多发,临床表现为乳房触痛、触及包块。超声表现多为不规则性低回声肿块,边界不清,内部回声不均,边缘及短条状血流信号,弹性成像病灶评分多≤3分。结论非哺乳期乳腺炎具有一定声像图特征,好发于育龄经产妇女,结合临床资料加强对本病的认识,对准确诊断及治疗有重要意义。Objective To investigate ultrasonographic （US） features of non-lactational mastitis with clinic and pathological correlation.Methods The sonographic characteristics and clinical data of 73 cases of non-lactational mastitis confirmed by pathology were retrospectively analyzed, variants, The correlation between the ultrasonographic findings of non-lactational mastitis and histologic features in different types were analysed.Results The average age of 73 cases of non lactation mastitis patients （42 ±10.76）, unilateral multiple clinical manifestations, breast tenderness, palpable mass. Ultrasound showed more irregular hypoechoic mass, unclear boundary, uneven internal echo, and the edge strip blood flow signal, elastography score less than 3 points.Conclusion The non-lactational mastitis mostly occurred in women of childbearing age and displayed certain ultrasonic feature. The Ultrasonographer combined with the clinical data may help to improve the accuracy rate of diagnosis.

关 键 词：非哺乳期乳腺炎 超声弹性成像 应变率 

分 类 号：R655.8[医药卫生—外科学] R445.1[医药卫生—临床医学]