摘要
目的探讨超声在肉芽肿性小叶性乳腺炎(GLE)中的诊断价值。方法选取医院拟诊断为GLE的患者42例,入院后均实施超声及X线检查,对比分析超声及X线的图像特征,患者均予以手术或活检穿刺病理检查,以病理结果为金标准,分析乳腺超声对GLE的诊断价值。结果超声检查共发现病灶45个,病灶形态多不规则,主要表现为低回声,多数病灶内可见血流信号,可分为肿块型和非肿块型两种类型;X线检查42例患者中多数表现为非对称性高密度影,少数为低密度影。以手术及活检穿刺病理为金标准,超声对GLE诊断的准确性为90.48%、敏感性为90.91%、特异性为88.89%,X线分别为54.76%、54.55%、55.56%,超声诊断GLE的准确性、特异性高于X线(P<0.05),两种检查方式的特异性比较差异不显著(P>0.05)。结论乳腺超声检查对GLE的诊断价值优于X线,可将其作为首选检查方式。
Objective To investigate the diagnostic value of ultrasonography in granulomatous lobular mastitis(GLE).Methods 42 patients with GLE were selected and examined by ultrasonography and X-ray after admission. The image characteristics of ultrasonography and X-ray were compared and analyzed.All patients were examined by operation or biopsy.The diagnostic value of breast ultrasonography for GLE was analyzed based on the pathological results.Results Ultrasound showed 45 lesions with irregular shape.The main manifestations were hypoechoic.Blood flow signals could be seen in most lesions,which could be divided into two types:mass type and non-mass type.X-ray showed asymmetric high-density shadow in most of the 42 patients,and low-density shadow in a few.The diagnostic accuracy,sensitivity and specificity of ultrasound for GLE were 90.48%,90.91%,88.89%,54.76%,54.55%and 55.56%respectively. The diagnostic accuracy and specificity of ultrasound for GLE were higher than those of X-ray(P<0.05).There was no significant difference between the two methods(P>0.05).Conclusion Breast ultrasonography is superior to X-ray in the diagnosis of GLE,and it can be used as the preferred examination method.
作者
侯莹
Ying HOU(Department of Ultrasound,Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou Henan450002,China)
出处
《国际感染病学（电子版）》
CAS
2018年第4期144-145,共2页
Infection International(Electronic Edition)
关键词
肉芽肿性小叶性乳腺炎
乳腺超声
诊断
Granulomatous lobular mastitis
Breast ultrasound
Diagnosis
