高频彩色多普勒超声在诊断浆细胞乳腺炎中的临床价值  

Clinical Value of High Frequency Color Doppler Ultrasound in Diagnosis of Plasma Cell Mastitis

作　　者：刘玉蕾 LIU Yu-lei(Department of Ultrasonography,Chaoyang Central Hospital,Liaoning Chaoyang 122000)

机构地区：[1]朝阳市中心医院超声科,辽宁朝阳122000

出　　处：《中国医疗器械信息》2021年第22期122-124,共3页China Medical Device Information

摘　　要：目的:探讨高频彩色多普勒超声在诊断浆细胞乳腺炎中的临床价值。方法:选择朝阳市中心医院2016年7月~2019年7月普外科收治浆细胞性乳腺炎患者74例,所有患者术前均行高频彩色多普勒超声检查,以病理学结果为金标准,计算高频彩色多普勒超声诊断浆细胞性乳腺炎的准确性、敏感性、特异性、阳性预测值及阴性预测值,并计算高频彩色多普勒超声诊断浆细胞性乳腺炎类型的临床价值。结果:经病理结果证实,浆细胞性乳腺炎43例,高频彩色多普勒超声诊断浆细胞性乳腺炎的准确性91.89% (68/74),敏感性为90.69% (39/43),特异性为93.54% (29/41),阳性预测值为95.12% (39/41),阴性预测值为87.87% (29/33)。病理学证实浆细胞性乳腺炎单纯导管扩张型6例,囊实混合型11例,实性肿块型19例,脓肿型7例,高频彩色多普勒超声诊断结果与病理结果相比差异无统计学意义(P>0.05)。所有43例经过病理确诊PCM的患者中,有7例病灶为0级血流信号;9例病灶为Ⅰ级血流信号,15例病灶为Ⅱ级血流信号,12例病灶为Ⅲ级血流信号。结论:高频彩色多普勒超声诊断浆细胞性乳腺炎的临床价值较高,能对浆细胞性乳腺炎进行准确分型,为临床医生在术前提供重要的信息,为治疗方案提供重要的参考依据。Objective:To investigate the clinical value of high frequency color Doppler ultrasound in the diagnosis of plasma cell mastitis.Methods:74 patients with plasma cell mastitis treated in the general surgery of Chaoyang Central Hospital from July 2016 to July 2019 were selected.All patients underwent highfrequency color Doppler ultrasound before operation.Taking the pathological results as the gold standard,the accuracy,sensitivity,specificity.positive predictive value and negative predictive value of high-frequency color Doppler ultrasound in the diagnosis of plasma cell mastitis were calculated,The clinical value of high frequency color Doppler ultrasound in the diagnosis of plasma cell mastitis was calculated.Results:The pathological results confirmed that there were 43 cases of plasma cell mastitis.The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of high frequency color Doppler ultrasound in the diagnosis of plasma cell mastitis were 91.89%(68/74),90.69%(3 9/43),93.54%(29/41),95.12%(39/41) and 87.87%(29/3 3).Pathology confirmed that plasma cell mastitis had simple ductal dilatation in 6 cases,mixed cystic and solid in 11 cases,solid mass in 19 cases and abscess in 7 cases.There was no significant difference between the diagnostic results of high-frequency color Doppler ultrasound and pathological results(P>0.05).In all 43 patients with PCM confirmed by pathology,7 lesions were grade 0 blood flow signals;9 lesions were grade Ⅰ blood flow signals,15 lesions were grade Ⅱ blood flow signals,and 12 lesions were grade Ⅲ blood flow signals.Conclusion:High frequency color Doppler ultrasound has high clinical value in the diagnosis of plasma cell mastitis.It can accurately classify plasma cell mastitis,provide important information for clinicians before operation,and provide important reference basis for treatment plan.

关 键 词：高频彩色多普勒超声 浆细胞性乳腺炎 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]