乳腺导管内占位病变的超声简化分型及诊断

Ultrasound simplify classification and diagnosis of breast intraductal space occupying lesion

目的通过对乳腺导管内占位病变的超声图像特征的简化分型,提高超声诊断率。方法通过68例乳腺导管内占位病变患者的临床资料,分析术后病理诊断与超声诊断的符合率,回顾乳腺导管内占位病变的超声图像特征并进行分型。结果根据乳腺导管是否扩张可简化分为:无导管扩张型(Ⅰ型)和导管扩张型(Ⅱ型)。68例86个病灶的超声诊断符合率为82.56%(71/86),其中Ⅰ型诊断符合率为74.07%(20/27),Ⅱ型诊断符合率为86.44%(51/59)。结论依据乳腺导管是否扩张对乳腺导管内占位病变分型,方法简单、合理,易于掌握,有助于提高超声诊断率。

Objective To simplify classification by observing ultrasound image characteristics of breast in- traductal space occupying lesion, improve the ultrasonic diagnosis rate. Methods In 68 cases of mammary in- traductal space occupying lesions in patients with clinical data, analyzed of postoperative pathologic and ultra- sound diagnosis coincidence rate, reviewed the occupied lesions of the mammary ducts ultrasound image feature and type. Results According to whether the expansion of mammary duct was divided into no dilatation type （ type I ） and ductal dilatation type （ type II ）. In 68 patients with 86 lesions in the ultrasound diagnostic coin- cidence rate was 82. 56% （71/86）, which included type I diagnostic coincidence rate was 74. 07% （20/ 27）, type II diagnosis coincidence rate is 86.44% （51/59）. Conclusions On the basis of mammary duct ex- pansion whether to breast intraductal space occupying lesion parting, the method is simple and reasonable, easy to master, which is beneficial to improve the ultrasound diagnosis rate.