初步探讨乳腺硬化性腺病超声分类的应用价值

Preliminary investigate on the application value of the ultrasonic classification in breast sclerosing adenosis

目的 :探讨彩色多普勒超声在乳腺硬化性腺病(SA)的超声分类的价值。方法 :回顾性分析2010年1月-2015年12月23例乳腺SA的术前彩色多普勒超声图像,对病灶的内部回声、边界、周围高回声晕、钙化灶、形态、边缘以及内部Adler血流分级进行分析,并与病理结果进行对照分析。初步归纳分类为局限型SA(LSA)与结节形成型SA(TSA)。结果:(1)LSA患者的平均年龄小于TSA;(2)SA患者误诊为恶性病变达21.74%;(3)在周围高回声声晕、钙化灶和内部血流上的检出率差异无统计学意义(P分别0.812、0.584、0.606,P>0.05);在内部回声、形态、边缘、边界的检出率差异有统计学意义(P分别为0.000、0.000、0.001、0.034,P<0.05)。结论 :进一步提高对乳腺SA超声分型的声像图认识,对乳腺SA的诊断与鉴别诊断具有重要价值。

Objective： To investigate the classificatory value of color doppler uhrasonography in breast sclerosing adenosis （SA）. Methods： Preoperative sonography of 23 SA patients （pathological confirmed） from January 2010 to December 2015 were retrospectively analyzed. SA lesions were classified as localized sclerosing adenosis （LSA） or tuberous sclerosing adenosis（TSA）. Results： （1）The average age of LSA group was younger than TSA; （2）21.74% SA patients were misdiagnosed as malignant lesions; （3）The detective rates of acoustic halo, focal calcification and the internal blood flow between two SA groups had no statistical significant differences （P=0.812, 0.584, 0.606, P〉0.05）. Meanwhile, there were statistical significant differences in internal echo, shape and margin border between two SA groups（P=0.000, 0.000, 0.001, 0.034, P〈0.05）. Conclusion： Further analyzation of characteristic signs from color Doppler ultrasonography is useful in classification of LAS and TAS.