31例慢性乳腺炎数字钼靶X线的误诊分析

Analysis on the Misdiagnosis for 31 Cases of Chronic Mastitis Digital Mammography

目的:通过术前X线钼靶误诊分析,提高慢性乳腺炎诊断的准确性。方法:收集经病理证实、术前均未正确诊断的慢性乳腺炎患者31例,对其数字钼靶X线表现进行回顾性分析。结果:本组术前数字钼靶X线有阳性发现者27例,占87.1%(27/31),其中主要征象为不对称性腺体致密影11例,乳晕后结节或肿块影16例,伴有征象如下:长毛刺征3例,皮肤增厚,脂肪层混浊4例,血管迂曲增粗6例,钙化6例,乳头凹陷1例。未见明确异常征象4例,占12.9%(4/31)。结论:慢性乳腺炎的X线表现呈多样性且无特异性,其诊断需采用多种影像检查手段并密切结合临床。

Objective To improve the diagnostic accuracy of chronic mastitis. Methods Retrospectively analyzed the mammographic findings of 31 cases of chronic mastitis confirmed by pathology, and all of them were misdiagnosed before surgery. Results Abnormal radiographic signs were found in 27 cases （87.1%）, in which the main signs of them included asymmetric dense shadow in 11 cases, nodule or mass behind the areola in 16 cases, and accompanied by signs as follows： specula in 3 cases, localkin thickening and fat layer opacity in 4 cases, vascular thickening and traveling tortuous in 6 cases, punctate calcification in 6 cases, retraction of nipple in 1 case. No explicitly findings in 4 cases （12.9 %）. Conclusion X-ray findings of chronic mastitis are diverse and not specific, therefore the diagnosis requires the use of a variety of imaging instrumerts and the close relation with clinical