【摘要】：目的分別研究31例漿細(xì)胞性乳腺炎的常規(guī)超聲及彈性成像超聲表現(xiàn),分析二者的不同,探討超聲彈性成像技術(shù)在漿細(xì)胞性乳腺炎診斷及鑒別診斷中的作用和價(jià)值,提高超聲彈性成像技術(shù)在漿細(xì)胞性乳腺炎診斷中的確診率從而降低誤診率。研究方法回顧性分析2010年2月到2013年12月期間在鄒平縣人民醫(yī)院就診并接受手術(shù)或活檢穿刺后病理證實(shí)為漿細(xì)胞性乳腺炎的31例患者31處病灶的超聲表現(xiàn),常規(guī)超聲觀察病造部位、大小、形態(tài)、邊界、包膜、內(nèi)部回聲、血流等情況,并對(duì)所查病灶進(jìn)行BI-RADS分級(jí),4分及4分以上診斷為惡性,3分及3分以下診斷為良性,考慮漿細(xì)胞性乳腺炎。然后對(duì)病灶處進(jìn)行彈性成像檢查,獲得較穩(wěn)定、清晰的彈性圖像后分析彈性成像圖,并對(duì)彈出成像圖采用改良5分法進(jìn)行評(píng)分。分析彈性成像在漿細(xì)胞性乳腺炎中的應(yīng)用價(jià)值。結(jié)果本組研究中,31例漿細(xì)胞性乳腺炎常規(guī)超聲根據(jù)BI-RADS分級(jí)誤診為惡性病變7例,常規(guī)超聲聯(lián)合彈性成像檢查根據(jù)彈性評(píng)分法誤診為惡性病變3例。結(jié)論1、漿細(xì)胞性乳腺炎,尤其是囊實(shí)性包塊型及實(shí)性包塊型,聲像圖與乳腺癌相似,常規(guī)超聲易將其誤診為乳腺癌。2、常規(guī)超聲聯(lián)合彈性成像技術(shù)能有效提高漿細(xì)胞性乳腺炎囊實(shí)性包塊型及實(shí)性包塊型的診確診率,從而降低誤診率。3、在漿細(xì)胞性乳腺炎診斷中,超聲彈性成像技術(shù)還不夠全面及完善,存在一定的假陰性或假陽性,該技術(shù)仍有待于進(jìn)一步研究及完善。
[Abstract]:Objective to study the ultrasonographic features of 31 cases of plasmacytic mastitis, analyze the difference between them, and discuss the value of ultrasonic elastography in the diagnosis and differential diagnosis of plasmacytic mastitis. To improve the diagnostic accuracy of ultrasonic elastography in the diagnosis of plasma cell mastitis and reduce the misdiagnosis rate. Methods from February 2010 to December 2013, 31 patients with plasmacytic mastitis, who were treated at Zouping County people's Hospital and confirmed by biopsy or operation, were analyzed retrospectively. The location, size, shape, boundary, capsule, internal echo and blood flow of the lesions were observed by conventional ultrasound. The lesions were classified by BI-RADS, 4 or more were diagnosed as malignant, and 3 or less were diagnosed as benign. Consider plasma cell mastitis. Then elastic imaging was performed on the lesion to obtain a more stable and clear elastic image post-analysis elastography, and the improved 5 score method was used to score the ejection image. To analyze the application value of elastic imaging in plasma cell mastitis. Results in this study, 31 cases of plasmacytic mastitis were misdiagnosed as malignant lesions by conventional ultrasound according to BI-RADS classification, and 3 cases were misdiagnosed as malignant lesions by conventional ultrasound combined with elastic imaging according to elastic score. Conclusion 1. Plasma cell mastitis, especially cystic mass and solid mass, are similar to breast cancer in sonogram. Conventional ultrasound combined with elastic imaging can effectively improve the diagnostic accuracy of cystic mass type and solid mass type of plasmacytic mastitis, thus reducing the misdiagnosis rate of 0.3, in the diagnosis of plasmacytic mastitis. Ultrasonic elastic imaging technology is not comprehensive and perfect, there are some false negative or false positive, this technology still needs to be further studied and improved.
【學(xué)位授予單位】：泰山醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R655.8;R445.1

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