文章摘要
栗翠英,林红军,胡建群,马文婷,叶新华,邓 晶.乳腺导管扩张症(浆细胞性乳腺炎)的超声图像及临床特征分析[J].南京医科大学学报,2012,(8):1136~1139
乳腺导管扩张症(浆细胞性乳腺炎)的超声图像及临床特征分析
Ultrasonographic manifestations and clinical study of mammary duct ectasia(plasma cell mastitis)
投稿时间:2012-01-11  
DOI:10.7655
中文关键词: 乳腺导管扩张症  浆细胞性乳腺炎  超声
英文关键词: mammary duct ectasia  plasma cell mastitis  sonography
基金项目:
作者单位
栗翠英 南京医科大学第一附属医院超声科,江苏 南京 210029 
林红军 南京医科大学第一附属医院超声科,江苏 南京 210029 
胡建群 南京医科大学第一附属医院超声科,江苏 南京 210029 
马文婷 南京医科大学第一附属医院超声科,江苏 南京 210029 
叶新华 南京医科大学第一附属医院超声科,江苏 南京 210029 
邓 晶 南京医科大学第一附属医院超声科,江苏 南京 210029 
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中文摘要:
      目的:通过分析乳腺导管扩张症的超声及临床表现,提高对该病的认识?方法:回顾性分析52例患者的超声及临床表现,总结其特征?结果:①超声表现分为4型,Ⅰ型:导管扩张型,乳晕处大导管扩张,1例(2%);Ⅱ型:与导管关系密切的囊?实性团块回声,27例(51.9%);Ⅲ型:周边有弱回声带的稍高或不均匀回声包块,10例(19.2%);Ⅳ型:部分或者完全液化的脓肿样回声部分伴有瘘管形成,14例(26.9%);②两个发病年龄高峰30~40岁及50~60岁,84.6%(44/52)病灶位于乳晕处,乳头凹陷者34.6%(18/52),53.8%(28/52)者大导管扩张;③术前诊断为炎性包块者46例,占88.5%,其中急性?亚急性诊断符合率95%?结论:导管扩张症超声表现不一,仅靠超声图像容易误诊,结合临床病史?体征能提高诊断准确率,急性?亚急性者较容易诊断,慢性者较难诊断?
英文摘要:
      Objective:To determine the ultrasound imaging features of mammary ductal ectasia(MDE). Methods:The sonographies and clinical characteristics of 52 patients with MDE confirmed by pathology were studied retrospectively. Result:① According to the ultrasound imagines of 52 cases,MDE could be classified into four types: type Ⅰ,duct dilatation(2%); type Ⅱ,cystosolid mass within or around the duct (53.8%);type Ⅲ,hyperechoic or heterogeneous-echoic mass with a hypoechoic rim(19.2%);and type Ⅳ,partly or fully fludified abcess(26.9%). ② The two peaks of incidence were at 30~40 or 50~60 years. Most of the lesions(84.6%) were around the areola(44/52),34.6% of patients with inverted nipple(18/52),and 53.8% with duct dilatation (28/52). ③ The rate of preoperative diagnosis of inflammatory masses was 88.5%(46/52). The diagnostic accordance rate of acute and subacute inflammation was 95%. Conclusion:The appearances of MDE are complicated. It would be misdiagnosed if judged only by sonographic features. Combination with clinical characteristics could improve the accuracy rate of diagnosis. Acute and subacute cases could be diagnosed easily,while chronic cases were harder to be diagnosed.
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