發(fā)布時間：2019-01-17 09:38

【摘要】：目的 :探討彩色多普勒超聲在乳腺硬化性腺病(SA)的超聲分類的價值。方法 :回顧性分析2010年1月-2015年12月23例乳腺SA的術(shù)前彩色多普勒超聲圖像,對病灶的內(nèi)部回聲、邊界、周圍高回聲暈、鈣化灶、形態(tài)、邊緣以及內(nèi)部Adler血流分級進行分析,并與病理結(jié)果進行對照分析。初步歸納分類為局限型SA(LSA)與結(jié)節(jié)形成型SA(TSA)。結(jié)果:(1)LSA患者的平均年齡小于TSA;(2)SA患者誤診為惡性病變達21.74%;(3)在周圍高回聲聲暈、鈣化灶和內(nèi)部血流上的檢出率差異無統(tǒng)計學意義(P分別0.812、0.584、0.606,P0.05);在內(nèi)部回聲、形態(tài)、邊緣、邊界的檢出率差異有統(tǒng)計學意義(P分別為0.000、0.000、0.001、0.034,P0.05)。結(jié)論 :進一步提高對乳腺SA超聲分型的聲像圖認識,對乳腺SA的診斷與鑒別診斷具有重要價值。
[Abstract]:Objective: to evaluate the value of color Doppler ultrasound in (SA) classification of breast sclerosing adenosis. Methods: 23 cases of breast SA from January 2010 to December 2015 were analyzed retrospectively by color Doppler ultrasonography. The internal echo, boundary, surrounding hyperechoic halo, calcification focus, morphology of the lesions were analyzed retrospectively. Peripheral and internal Adler blood flow grades were analyzed and compared with pathological results. Preliminary Induction and Classification of localized SA (LSA) and Nodular SA (TSA). Results: (1) the mean age of LSA patients was less than that of TSA; (2) SA patients were misdiagnosed as malignant lesions (21.74%); (3) there was no significant difference in the detection rate of peripheral hyperechoic acoustics, calcified foci and internal blood flow (P 0.812 0.584 ~ 0.606P, respectively); There were significant differences in the detectable rate of internal echo, shape, edge and boundary (P = 0.0000.000 ~ 0.001 ~ 0.034). Conclusion: it is important for the diagnosis and differential diagnosis of mammary SA to improve the recognition of ultrasound image of breast SA.
【作者單位】： 福建省泉州市第一醫(yī)院超聲科;
【分類號】：R445.1;R655.8

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