彩色多普勒超声对浆细胞性乳腺炎的诊断价值

Value of Color Doppler Ultrasonography in Diagnosis of Plasma Cell Mastitis

目的分析浆细胞性乳腺炎(plasma cell mastitis,PCM)的超声表现,总结声像图征象,提高PCM超声诊断的符合率。方法回顾性分析2012年1月—2013年12月在我院临床手术或穿刺病理证实的78例PCM的临床资料。结果本组PCM超声诊断正确率为88.5%。超声表现为导管扩张型11例,2例误诊为导管内乳头状瘤;肿块型33例,2例误诊为乳腺癌,1例误诊为腺病;囊实混合型19例,2例误诊为乳腺囊性增生;脓肿型15例,2例误诊为急性细菌性乳腺炎。结论 PCM超声声像图特征有其病程、病理特点,彩色多普勒超声能准确发现病灶,并有助于鉴别诊断。

Objective To analyze the ultrasonic manifestations of plasma cell mastitis（PCM）and summarize ultrasonogram signs in order to improve the coincidence rate of PCM ultrasonic diagnosis. Methods Clinical data of 78 PCM patients confirmed by surgery or pathological examinations during January 2012 and December 2013 was retrospec-tively analyzed. Results The correct rate of PCM ultrasonic diagnosis was 88. 5%. Color Doppler ultrasonography showed that 11 patients were of ductal ectasia type,including 2 patients misdiagnosed as having intraductal papilloma;33 patients of lumps type,including 2 patients misdiagnosed as having breast cancer and 1 with adenosis;19 patients of mixed cystic and solid masses type,including 2 patients misdiagnosed as having cystic mastitis;15 patients of abscess type,including 2 patients misdiagnosed as having acute bacteroidal mastitis. Conclusion PCM has special sonographic features of the course and the pathology,and color Doppler ultrasound examination can accurately find lesions,which is helpful in differential diagnosis.