肉芽肿性乳腺炎的MRI特征及其在中西医结合诊疗中的应用价值

MRI Features of Granulomatous Mastitis and Its Value in the Diagnosis and Treatment of Integrated Traditional Chinese and Western Medicine

目的探讨特发性肉芽肿性乳腺炎(GM)的MRI特征及其在中西医结合诊疗中的应用价值。方法回顾性分析2016年1月-2017年6月间经我院确诊且接受乳腺MRI检查及中西医结合治疗的32例GM患者的临床资料,总结GM的MRI影像特点,进而评价MRI对治疗疗效观察的价值。结果32例病灶T1WI呈等、低信号;T2WI高低混杂信号30例,等信号2例。不规则肿块样病灶11例,非肿块样分布21例。增强扫描3例病灶均匀强化,29例不均匀强化,其中病灶内部大小不等环形强化15例,结节样、网格样强化14例。合并腋窝淋巴结肿大18例。32例接受中西医结合治疗经临床及MRI评定治愈16例,好转14例,进展2例,有效率达93.75%。结论临床上利用MRI可以有效对GM与其他乳腺疾病进行鉴别和诊断,而且利用MRI的图像特征能够对GM患者的病情变化以及中西医治疗的效果进行有效的判断,从而为临床治疗方案的选择提供必要的参考依据,因此MRI是诊断GM及评定临床疗效的重要检查手段。

Objective To investigate the MRI features of idiopathic granulomatous mastitis（GM） and its value in the diagnosis and treatment of integrated traditional Chinese and Western medicine. Methods The clinical data of 32 patients with GM from January 2016 to June 2017, which were confirmed by our hospital and received MRI examination of the breast and the combination of traditional Chinese and Western medicine were analyzed retrospectively, the features of GM＇s MRI image were summed, and the value of MRI for the observation of quality effect was evaluated. Results 32 cases of T1 WI showed equal and low signal, there were 30 cases of high and low mixed signals of T2 WI, 2 cases of equal signal. There were 11 cases of irregular lump like lesions, 21 cases of non-lump like distribution. Enhanced scan of 3 cases uniform strengthened, 29 cases of in homogeneous strengthened, 15 cases of ring-shaped strengthened with different size of the lesion, 14 cases of nodular, trellis strengthened. Amalgamative axillary lymph nodes were enlarged in 18 cases. 32 cases were treated by combination of traditional Chinese and Western medicine, 16 cases were cured by clinical and MRI evaluation, 14 cases were improved, 2 cases were progresses, the effective rate was 93.75%. Conclusion GM has its characteristic features on MRI, so MRI is an important means to diagnose GM and evaluate the clinical efficacy.