彩超对不同分型肉芽肿性小叶性乳腺炎的诊断价值  

The Clinical Value of Ultrasonic Features of Different Typing with Granulomatous Lobular Mastitis

作　　者：陈铃[1] 刘桂连[1] 张建兴[1] 丘嫦[2] 陈淼[1] 赖允思 

机构地区：[1]广东省中医院超声科,广州市510120 [2]广东省中医院大学城乳腺科,广州市510120

出　　处：《中国超声医学杂志》2017年第3期213-216,共4页Chinese Journal of Ultrasound in Medicine

基　　金：广东省中医院拔尖人才专项(No.2014KT1495)

摘　　要：目的探讨超声对不同分型肉芽肿性小叶性乳腺炎的诊断价值。方法选择手术或粗针穿刺后病理确诊为肉芽肿性小叶性乳腺炎158例患者的超声表现进行回顾性研究,肉芽肿性小叶性乳腺炎依据文献分为片状回声型、结节(或)肿块型、弥散型三种类型。结果 158例肉芽肿性小叶性乳腺炎病灶中,误诊26例,超声诊断肉芽肿性小叶性乳腺炎的符合率为83.5%。结节(或)肿块型23例,超声诊断符合率为30.4%(7/23);片状回声型56例,超声诊断符合率为87.5%(49/56);弥散型79例,超声诊断符合率为96.2%(76/79)。结论超声对肉芽肿性小叶性乳腺炎的诊断具有较高的临床价值,其诊断符合率与超声分型有关。Objective To describe the clinical value of ultrasonic features of different typing with granulomatous lobular mastitis. Methods A retrospective review of ultrasound features was evaluated in 158 women diagnosed with granulomatous lobular mastitis. Granulomatous lobular mastitis were divided into 3 types （nodule/mass type, patch echo type and diffuse type）with reference to literature. Results 26 cases were misdiagnosed in 158 granulomatous lobular mastitis lesions, and the ultrasonic diagnostic accordance was 83.5%. The ultrasonic diagnostic accordance of nod- ule/mass type was 30.4% （7/23） ,that of patch echo type was 87.5%（49/56）, and diffuse type was 96.2% （76/79）. Conclusions Ultrasonography was an important tool for diagnosing the granulomatous lobular mastitis. The ultrasonic diagnostic accordance of granulomatous lobular mastitis was affected with ultrasonic typing.

关 键 词：肉芽肿性小叶性乳腺炎 乳腺 超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]