慢性乳腺炎性包块与乳腺癌的超声鉴别诊断  

Ultrasound differential diagnosis of chronic breast inflammatory mass and breast cancer

作　　者：王小颖 张少静[2] 冯钰瑾[3] 杨彦[4] 杨晓青[1] 乃赓 夏雪[1] WANG Xiaoying;ZHANG Shaojing;FENG Yujin(Department of Ultrasound Diagnosis,The First Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050011,China)

机构地区：[1]河北省石家庄市第一医院超声科,050011 [2]河北省石家庄市第一医院生殖医学科,050011 [3]河北医科大学第二医院超声科 [4]河北省石家庄市第一医院血液科,050011

出　　处：《河北医药》2018年第22期3418-3421,共4页Hebei Medical Journal

摘　　要：目的探讨高频超声对于乳腺炎性包块及乳腺癌的鉴别诊断价值。方法选取超声诊断分级为4或5,并经手术病理证实为乳腺炎或浸润性乳腺癌的乳腺包块各25例,结合运用弹性成像应变率比值,分析各种声像图特征对于鉴别乳腺炎与乳腺癌的诊断价值。结果形态不规则、边界不清、血流信号增多的声像图特征对于鉴别炎症及乳腺癌的差异无统计学意义(P> 0. 05),弥漫性导管扩张、弹性成像应变率比值测定、腋窝淋巴结增大对于两者的鉴别差异有统计学意义(P <0. 05)。结论超声征象中弥漫性导管扩张及弹性成像应变率比值增高对于鉴别乳腺炎症及乳腺癌有一定价值。Objective To investigate the differential diagnosis value of high frequency ultrasonography in the differential diagnosis between breast inflammatory mass and breast cancer.Methods A total of 25 cases of mastitis and 25 cases of breast cancer confirmed by surgery and pathological examination were enrolled in the study.The diagnostic value of various sonographic features was analyzed by using elastic imaging.Results There was no statistical significance in irregular shape,obscure boundary and image characteristics of blood stream signle increase in differential diagnosis between mastitis and breast cancer(P>0.05).However there was statistical significance in the diffuse ductal dilation,elastic imaging strain rate and increase of axillary lymph node in differential diagnosis between mastitis and breast cancer(P<0.05).Conclusion The diffuse ductal dilation and elastic imaging strain rate increase in ultrasonic signs have a certain diagnostic value in the differential diagnosis between mastitis and breast cancer.

关 键 词：乳腺炎 乳腺肿瘤 高频超声 弹性成像应变率比值 

分 类 号：R445.1[医药卫生—影像医学与核医学]