非哺乳期乳腺炎性疾病的X线表现

X-ray findings of non-lactating mastitis

目的提高非哺乳期乳腺炎性疾病的诊断准确性。方法回顾性分析55例非哺乳期乳腺炎性疾病患者的临床和X线资料。结果55例乳腺炎性疾病中,病灶位于乳晕后区40例,占73%例;密度均匀45例,占82%;病灶结构模糊49例,占89%;病灶表现为不对称致密影37例,占67%;病灶表现为肿块18例,占29%;病灶在2个不同体位形态变化较大者41例,占74%;边缘模糊40例,占73%;边缘浸润4例,占7%;边缘毛刺2例,占4%;乳晕处皮肤增厚41例,占74%;皮下脂肪层密度增高29例,占53%;周围结构扭曲5例,占9%。结论非哺乳期乳腺炎性疾病X线表现有一定的特征性,结合病史,可提高对该病的诊断和鉴别诊断水平。

Objective To improve the diagnostic accuracy of non-lactating mastitis diseases.Methods Clinical and X-ray data of 55 patients with non-lactating mastitis were retrospectively analyzed.Results Of the 55 cases of mastitis,40 cases’focus located in the posterior area of the areola,accounting for 73%;45 cases were evenly distributed,accounting for 82%;49 cases’blurred in the structure of the lesion,accounting for 89%;There were 37 cases of asymmetrical dense shadows,accounting for 67%;18 cases lesions showed masses,accounting for 29%;41 cases lesions with larger morphological changes in two different positions,accounting for 74%;There were 40 cases with edge blur,accounting for 73%;4 cases with marginal infiltration,accounting for 7%;2 cases with marginal burrs,ac-counting for 4%;41 cases with skin thickening at areola,accounting for 74%;There were 29 cases with increased subcutaneous fat layer density,accounting for 53%;5 cases with surrounding structural distortion,accounting for 9.1%..Conclusion The X-ray findings of non-lactating mastitis diseases have certain characteristics.Combined with medical history,the diagnosis and differential diagnosis of the disease can be improved.