乳腺结构不良的声像图特征

Ultrasonographic features in mammary dysdplasia

目的 :探讨女性乳腺结构不良声像图的特征 ,提高对该病的诊断水平。 方法 :用高频探头对年龄在 2 2～ 6 7岁 ,有婚孕史 ,伴有或不伴有月经期乳腺胀痛 ,有乳腺结节的 6 3例患者的乳腺进行检查 ,按世界卫生组织 (WHO)乳腺结构不良病理分型 ,分析乳腺异常声像图。 结果 :乳腺结构不良的超声图像可以分为 5型 :小叶增生型、导管增生型、囊肿型、局灶性纤维化型和纤维腺瘤样增生型。 结论 :按其图像特征诊断 ,发病率符合年龄变化和病理发生过程 。

Objective: To define the ultrasonographic feature of mammary dysplasia so as to improve diagnostic accuracy of the condition. Methods: Using high frequency ultrasound mammary glands of 63 married parous women (age range 22 67 years) who had the history of menstrual distending pain of the breast and who were noticed to have breast nodes were examined and pathologically classified according the WHO standard. Results: The ultrasound images of the dysplasic mammary glands were classified as 5 types: lobular hyperplasia, duct hyperplasia, galtioncus, focal fibrosis and fibroadenomatoid hyperplasia. Conclusion: Diagnosis on the incidence of the disease according to the features of ultrasound imaging is coincident with the age and pathological process of the patients, and therefore ultrasound is helpful in differential diagnosis of such conditions. [