超声检查鉴别诊断浆细胞性乳腺炎与肉芽肿性小叶乳腺炎型非哺乳期乳腺炎的价值  

Value of Ultrasound Examination in the Differential Diagnosis of Plasma Cell Mastitis and Granulomatous Lobular Mastitis Type Non-lactating Mastitis

作　　者：袁胜美 Yuan Shengmei(The Affiliated Hospital of Guizhou Medical University,Guiyang 550004,Guizhou Province,China)

机构地区：[1]贵州医科大学附属医院,贵州贵阳550004

出　　处：《中外医药研究》2025年第10期148-150,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究应用超声检查鉴别浆细胞性乳腺炎(PCM)、肉芽肿性小叶乳腺炎(GLM)型非哺乳期乳腺炎(NLM)的临床优势。方法:选取2022年1月—2023年1月贵州医科大学附属医院收治的60例NLM患者为研究对象,均接受超声检查、病理检查。统计超声检查与病理检查诊断PCM与GLM的符合率,比较PCM与GLM患者超声检查特征、超声表现分型。结果:病理检查诊断PCM 43例,GLM 17例;超声检查检出PCM 38例,GLM 15例,符合率分别为88.37%、88.24%。PCM患者病灶位置为中央区、乳头溢液、同侧腋窝淋巴结肿大率高于GLM患者(P<0.05);PCM与GLM患者病灶数量、形态、病灶深度、纵横比、病变血供、边缘、钙化情况、周围回声增强方面比较,差异无统计学意义(P>0.05)。PCM患者与GLM患者导管扩张型、脓肿形成型、慢性窦道型、结节型、弥漫浸润型、混合型占比对比,差异无统计学意义(P>0.05)。结论:与GLM型相比,PCM型的中央区病灶、乳头溢液及腋窝淋巴结肿大率高,超声检查具有显著差异,有助于临床鉴别诊断。Objective:To explore the clinical advantages of using ultrasound examination in differentiating plasma cell mastitis(PCM)and granulomatous lobular mastitis(GLM)type non-lactating mastitis(NLM).Methods:Sixty patients with NLM admitted to the Affiliated Hospital of Guizhou Medical University from January 2022 to January 2023 were selected as the research objects,and all of them underwent ultrasound examination and pathological examination.The coincidence rate of ultrasound examination and pathological examination in the diagnosis of PCM and GLM was statistically analyzed.The ultrasound examination characteristics and ultrasound manifestation classifications of patients with PCM and GLM were compared.Results:Pathological examination diagnosed 43 cases of PCM and 17 cases of GLM.Ultrasound examination detected 38 cases of PCM and 15 cases of GLM,and the coincidence rates were 88.37%and 88.24%respectively.The lesion location in patients with PCM was the central area,the rate of nipple discharge and the enlargement of ipsilateral axillary lymph nodes were higher than those in patients with GLM(P<0.05).There was no statistically significant difference between PCM and GLM patients in terms of the number of lesions,morphology,lesion depth,aspect ratio,lesion blood supply,margin,calcification,and enhanced peripheral echo(P>0.05).There was no statistically significant difference in the proportions of catheter dilation type,abscess formation type,chronic sinus tract type,nodular type,diffuse infiltration type and mixed type between PCM patients and GLM patients(P>0.05).Conclusion:Compared with the GLM type,the PCM type has a higher rate of central lesion,nipple discharge and axillary lymph node enlargement,and the ultrasound examination shows significant differences,which is helpful for clinical differential diagnosis.

关 键 词：超声检查 非哺乳期乳腺炎 肉芽肿性小叶乳腺炎 浆细胞性乳腺炎 鉴别诊断 

分 类 号：R655.8[医药卫生—外科学]