探讨自动乳腺全容积扫查与常规超声对肉芽肿性乳腺炎诊断的临床应用价值  

The clinical value of automatic breast volume scanning and ultrasound in the diagnosis of granulomatous mastitis

作　　者：宁浩杰[1] 韦德湛[1] 陈洁莹[1] 周志升[1] 成宇璐[1] 程超[1] 罗慧 NING Hao-jie;WEI De-zhan;CHEN Jie-ying;ZHOU Zhi-sheng;CHENG Yu-lu;CHENG Chao;LUO Hui(B-Ultrasound Room,Women and Children's Hospital of Foshan,Foshan Guangdong 528000,China)

机构地区：[1]佛山市妇幼保健院B超室,广东佛山528000

出　　处：《中国临床医学影像杂志》2020年第8期572-575,共4页Journal of China Clinic Medical Imaging

基　　金：广东省佛山市科技创新项目(项目编号:2018AB000211)。

摘　　要：目的:探讨自动乳腺全容积扫查(ABVS)与常规超声对肉芽肿性乳腺炎诊断的临床应用价值。方法:选取我院2016年1月—2017年12月32例肉芽肿性乳腺炎患者作为研究对象,入选患者均进行ABVS及常规超声检查。将检查结果与病理结果进行对比,比较两种检查方法对于肉芽肿性乳腺炎的检出率、部位、类型、病灶大小的诊断准确性。结果:常规超声病灶检出率为62.50%(20/32),ABVS病灶检出率为93.75%(30/32)。ABVS对于病灶的整体检出率以及不同部位、不同类型、直径较小(d<3 mm)的病灶检出率均高于常规超声检查(P<0.05)。ABVS诊断肉芽肿性乳腺炎的灵敏度、特异度高于常规超声检查(P<0.05)。结论:ABVS可从三维多层对肉芽肿性乳腺炎进行诊断及分型,提高诊断准确性,有利于临床医生评估病情及制定合适的治疗策略。Objective:To investigate the clinical value of automatic breast volume scanning(ABVS)and ultrasound(US)in the diagnosis and differential diagnosis of granulomatous mastitis.Methods:From January 2016 to December 2017,32 patients with granulomatous mastitis were studied in our hospital.All the patients were examined by ABVS and US.The results of ABVS and US examination were compared with the pathological results,and the diagnostic accuracy of the two methods in detection rate,location,type and focus size of granulomatous mastitis was compared.Results:The detection rate of lesions of conventional ultrasound was 62.50%(20/32),and that of ABVS was 93.75%(30/32).The overall detection rate of ABVS and the detection rate of lesions of different location,different types and smaller diameter(d<3 mm)were higher than those of US(P<0.05).The sensitivity and specificity of ABVS in the diagnosis of granulomatous mastitis were higher than those of US(P<0.05).Conclusion:ABVS can diagnose and classify granulomatous mastitis from three-dimensional layers,improve the diagnostic accuracy,and help clinicians to evaluate the condition and develop appropriate treatment strategies.

关 键 词：乳腺炎 超声检查 乳房 

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