不同月经周期乳腺增生的超声图像分析

The Ultrasonographic Features of Hyperplasia of Mammary Glands in Different Menstrual Cycles

本文对不同月经周期乳腺增生的超声图像特征进行了分析。研究对象为选取2017年6月~2019年6月本院乳腺增生患者102例,所有患者均于不同月经周期(月经期、增殖期、分泌期)给予彩色多普勒超声检查,并检测性激素[雌二醇(E2)、孕酮(P)],分析不同月经周期乳腺增生的超声图像特征。结果显示,102例乳腺增生患者中,彩色多普勒超声诊断符合98例,符合率为96.08%,与病理结果比较,差异无统计学意义(P>0.05);乳腺增生患者增殖期乳腺腺体层厚度、导管宽度、乳房胀痛率、E2水平均明显高于月经期、分泌期,增殖期P水平明显低于分泌期但明显高于月经期,差异有统计学意义(P<0.05),分泌期乳腺腺体层厚度、导管宽度、乳房胀痛率、E2水平均高于月经期,但差异无统计学意义(P>0.05)。本文证实了彩色多普勒超声对乳腺增生具有良好的诊断价值,且不同月经周期乳腺增生的超声图像特征存在差异,可有效评价患者月经周期与性激素、增生性病变的关系。

In ordr to discuss the ultrasonographic features of hyperplasia of mammary glands in different menstrual cycles,102 patients with hyperplasia of mammary glands was analyzed in this study.From June 2017 to June 2019,they were selected as the subjects and examined by color Doppler ultrasound in different menstrual cycles(menstrual,proliferative and secretory stages).The sex hormones[estradiol(E2),progesterone(P)]were detected,and the ultrasonographic features of hyperplasia of mammary glands in different menstrual cycles were analyzed.The results showed that,among 102 cases of hyperplasia of mammary glands,98 cases were diagnosed by color Doppler ultrasound,and the coincidence rate was 96.08%.Compared with pathological results,there was no significant difference(P>0.05).The thickness of breast body layer,duct width,breast pain rate and E2 level in proliferative period of patients with hyperplasia of mammary glands were significantly higher than those in menstrual period and secretory period.The level of P in proliferative period was significantly lower than that in secretory period,but significantly higher than that in menstrual period.The thickness of breast body layer,duct width,breast pain rate and E2 level in secretory period were higher than those in menstrual period,but there was no significant difference(P>0.05).This study confirms that,color Doppler ultrasonography has good diagnostic value for hyperplasia of mammary glands,and there are differences in ultrasonographic features of hyperplasia of mammary glands in different menstrual cycles.It can effectively evaluate the relationship between menstrual cycle,sex hormones and proliferative lesions.