余毒未清证型浆细胞性乳腺炎的影像学研究  

Imaging study of residual toxin syndrome type of plasma cell mastitis

作　　者：杨倩玫[1] 赵蓉[1] 孙景环[2] 王亚冬[1] YANG Qianmei ZHAO Rong SUN J inghuan WANG Yadong(Department of Ultrasonography , Chinese Medicine Hospital of Chongqing , Chongqing 400021, China Department of Chinese Medicine ,Chinese Medicine Hospital of J iangjin District ,Chongqing 402260 ,China)

机构地区：[1]重庆市中医院超声科,400021 [2]重庆市江津区中医院中医科,402260

出　　处：《检验医学与临床》2017年第15期2180-2182,共3页Laboratory Medicine and Clinic

基　　金：重庆市卫生和计划生育委员会中医药科技项目(ZY201602046)

摘　　要：目的探讨超声及磁共振成像(MRI)在余毒未清证型浆细胞性乳腺炎(PCM)术前诊断中的价值。方法收集中医辨证为余毒未清证,手术病理确诊为PCM的30例患者52处病灶的常规超声、超声弹性成像图像及MRI检查结果,回顾性分析并比较超声和磁共振成像两种方法在病灶定位及定性诊断方面的差异,判断各自优劣性。结果术前超声定位诊断准确率为78.8%(41/52),术前MRI定位诊断准确率为87.5%(28/32),两者的定位诊断准确率比较差异无统计学意义(P>0.05)。术前超声定性诊断准确率为75.0%(39/52),术前磁共振定性诊断准确率为68.8%(22/32),两者的定性诊断准确率比较差异无统计学意义(P>0.05)。结论余毒未清证型PCM仅依靠临床症状及体征确诊较困难,常规超声联合超声弹性成像和MRI检查对余毒未清证型PCM的诊断均具有重要价值。Objective To investigate the value of ultrasound and magnetic resonance imaging （MRI） in preoperative diagnosis of residual toxin syndrome type of plasma cell mastitis （PCM）. Methods A total of 30 patients （52 lesions） with residual toxin syn- drome and confirmed of PCM by pathology were selected and ultrasound elastography and MRI of 52 lesions analyzed retrospective- ly. The differences between ultrasound and magnetic resonance imaging were compared in the localization and qualitative diagnosis of the lesions,and their advantages and disadvantages were judged. Results The accuracy rate of preoperative localization of ultra- sound was 78.8% （41/52）. The accuracy of preoperative localization of MRI was 87.5% （28/32）. There was no statistically signif- icant difference between the two groups （P〉0.05）. The accuracy of preoperative ultrasonography qualitative diagnosis was 75.0 % （39/52）. The accuracy of preoperative MRI qualitative diagnosis was 68.8% （22/32）, there was no statistically significant differ- ence in the accuracy of qualitative diagnosis between the two groups （P〉0.05）. Conclusion Residual toxin syndrome type of PCM is difficult to diagnose only relying on clinical symptoms and signs,conventional ultrasound combined with ultrasound elastography and MRI are of great value in the diagnosis of residual toxin syndrome type of PCM.

关 键 词：超声 核磁共振 浆细胞性乳腺炎 中医证型 

分 类 号：R655.8[医药卫生—外科学]