乳腺超声影像报告与数据系统分类对非哺乳期乳腺炎诊断效能的分析  

Efficacy Analysis of Breast Imaging Reporting and Data System-Ultrasound Classification in the Diagnosis of Non-Lactation Mastitis

作　　者：徐娟[1] 赵国政 刘晓璐[1] 王谦[1] 吴枫[1] 田立斌[2] 李利 XU Juan;ZHAO Guozheng;LIU Xiaolu;WANG Qian;WU Feng;TIAN Libin;LI Li(Department of Ultrasound Diagnosis,Tangshan City People's Hospital,Tangshan Hebe 063000,China;Department of Pathology,Tangshan City People's Hospital,Tangshan Hebe 063000,China;Department of Ultrasound Diagnosis,PLA Air Force Special Medical Center,Beijing 100142,China)

机构地区：[1]唐山市人民医院超声诊断科,河北唐山063000 [2]唐山市人民医院病理科,河北唐山063000 [3]中国人民解放军空军特色医学中心超声诊断科,北京100142

出　　处：《中国医疗设备》2022年第4期82-85,共4页China Medical Devices

基　　金：河北省2018年度医学科学研究重点课题计划(20181232)。

摘　　要：目的分析总结非哺乳期乳腺炎(Non-Lactation Mastitis,NLM)不同病理类型和乳腺超声影像报告与数据系统(Breast Imaging Reporting and Data System-Ultrasound,BI-RADS-US)分类偏差的原因,以加深超声医师对NLM诊断的认识,提高诊断的准确率。方法回顾性分析本院经穿刺或手术证实为NLM的患者84例,记录病灶的BI-RADS分类、病理类型和超声分型,统计各组BI-RADS分类的准确度并进行对比分析。结果84例患者的NLM病理类型为急慢性炎、化脓性炎、肉芽肿性小叶炎以及慢性炎;根据NLM的超声声像图特点,将NLM分为导管扩张型、结节型、弥散型。不同病理类型的NLM的BI-RADS分类的准确度分别为急慢性炎65.0%、化脓性炎100%、慢性炎61.1%、肉芽肿性小叶炎85.7%,不同组别间差异无统计学意义(P>0.05)。不同超声分型的NLM的BI-RADS分类准确度为导管扩张型100%、结节型44.8%,弥散型90.9%,不同组别间差异有统计学意义(P<0.001)。结论NLM的不同病理类型和超声分型是造成BI-RADS分类偏差的主要原因,病灶内出现的弥散分布的有流动感的点状回声可能是NLM的特征性超声表现。Objective To analyze and summarize the reasons for the classification deviation between different pathological types of non-lactation mastitis(NLM)and breast imaging reporting and data system-ultrasound(BI-RADS-US),in order to deepen the sonographer’s understanding of NLM and improve the accuracy of diagnosis.Methods A retrospective analysis of 84 patients with NLM confirmed by puncture or surgery in our hospital was performed.The BI-RADS classification,pathological type and ultrasound classification of the lesions were recorded,and the accuracy of BI-RADS classification in each group was calculated and compared.Results The pathological types of NLM in 84 patients were acute and chronic inflammation,suppurative inflammation,granulomatous lobulitis and chronic inflammation.According to the ultrasonographic features of NLM,NLM was divided into ductal dilatation type,nodular type and diffuse type.The accuracy of BI-RADS classification of NLM with different pathological types was 65.0%for acute and chronic inflammation,100%for purulent inflammation,61.1%for chronic inflammation,and 85.7%for granulomatous lobulitis;there was no significant difference between the different groups(P>0.05).The accuracy of BI-RADS classification of NLM with different ultrasound types was 100%for ductal dilatation type,44.8%for nodular type,and 90.9%for diffuse type,and the difference between different groups was statistically significant(P<0.001).Conclusion The difference of NLM pathological type and ultrasound classification is the main reason for the classification deviation of BI-RADS.The diffuse and flowing punctate echoes in the lesions may be the characteristic ultrasound manifestations of NLM.

关 键 词：非哺乳期乳腺炎 超声 病理类型 BI-RADS分类 准确度 

分 类 号：R445.1[医药卫生—影像医学与核医学]