超声检查在肉牙肿性乳腺炎中的应用进展  

Application progress of ultrasonography in granulomatous mastitis

作　　者：刘斌[1] LIU Bin(Department of Functio nal Examination,First Teachi ng Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院功能检查科,国家中医针灸临床医学研究中心,天津300381

出　　处：《中国城乡企业卫生》2021年第9期19-22,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：肉芽肿性乳腺炎(GLM)为妇科疾病,临床患病率不高,常见于30~40岁女性,尤其是生产过后的女性。临床对其发病机制尚无统一认识,多认为与免疫、超敏、炎症感染、避孕药不良反应、长期服用精神类药物等相关。临床确诊主要为症状诊断结合实验室检查、影像学检查、细胞学检查、术后病理检查,并以石蜡病理结果为最佳检查结果。早年研究多以GLM临床诊断特点、超声特点等为主,并对超声分型提出不同的分型意见。单一超声检查对GLM的准确度较低,为提高准确度,目前临床主要研究方向为提高超声成像技术、联合应用多种超声声像技术、联合其他检查方法进行辅助诊断。随着超声检查的发展,其对GLM的诊断、分型趋向成熟,且通过多种方式以提高诊断准确度,其中应用多种超声声像技术价值较高,但单一新型超声成像、联合应用其他检查方法进行诊断也有良好的应用效果。本文对相关临床文献进行分析,总结GLM发病特点与临床检查特点,分析近年来超声检查对GLM的研究方法及价值。Granulomatous lobular mastitis(GLM)is a gynecological disease with low clinical prevalence. It occurs in women between 30 and 40 years old,especially after delivery. Clinically,there is no unified understanding of its pathogenesis,which is mostly believed to be related to immunity,hypersensitivity,inflammatory infection,adverse reaction of contraceptives,long-term use of psychotropic drugs and so on.The clinical diagnosis is mainly symptom diagnosis combined with laboratory examination,imaging examination, cytology examination and postoperative pathological examination, and the paraffin pathological result is the best examination result. The early studies mainly focus on the clinical diagnostic characteristics and ultrasonic characteristics of GLM,and put forward different opinions on ultrasonic typing. The accuracy of single ultrasonic examination for GLM is low. In order to improve the accuracy,the main clinical research directions are to improve ultrasonic imaging technology,combine multiple ultrasonic imaging technologies, and combine other examination methods for auxiliary diagnosis. With the development of ultrasonic examination,its diagnosis and classification of GLM tend to be mature,and various ways are used to improve the diagnostic accuracy. Among them,the application of multiple ultrasonic imaging technologies is of higher value,but a single new ultrasonic imaging or combined application of other examination methods for diagnosis also have good application results. This paper analyzes the relevant clinical literature, summarizes the pathogenesis and clinical examination characteristics of GLM,and analyzes the research methods and value of ultrasonography in GLM in recent years.

关 键 词：超声 肉芽肿性乳腺炎 进展 

分 类 号：R445.1[医药卫生—影像医学与核医学]