非哺乳期乳腺炎的超声特征分析

Ultrasonic characteristic analysis of non-lactation mastitis

目的分析归纳非哺乳期乳腺炎的超声声像图特征,提高诊断正确率,为临床指导治疗。方法对2017年1月至2020年11月河源市人民医院收治的46例经病理确诊的非哺乳期乳腺炎患者的超声声像图进行回顾性分析,与病理结果对照,分析非哺乳期乳腺炎的超声特征。结果46例非哺乳期乳腺炎患者中,慢性乳腺炎24例,肉芽肿性小叶性乳腺炎15例,浆细胞性乳腺炎5例,淋巴细胞性小叶炎2例。非哺乳期乳腺炎的超声声像的特征性表现为片状低回声夹杂透声较差的无回声区。肉芽肿性小叶性乳腺炎回声较紊乱,易误诊为恶性病变。结论掌握非哺乳期乳腺炎超声特征有助于提高非哺乳期乳腺炎的诊断正确率。

Objective To analyze and summarize the characteristics of ultrasonographie images of non-lactating mastitis,improve the diagnostic accuracy,and guide the elinical treatment.Methods The ultrasonic images of 46 patients with non lactation mastitis diagnosed by pathology in People's Hospital of Heyuan from January 2017 to November 2020 were retrospectively analyzed.The ultrasonie images were compared with the pathological results,and the ultrasonic characteristics of non lactation mastitis were ana-lyzed.Results Among the 46 cases of non lactation mastitis,there were 24 cases of chronic mastitis,15 cases of granulomatous lobular mastitis,5 cases of plasma cell mastitis and 2 cases of lymphocytic lobulitis.The ultrasonographie features of non lactation mastitis were patchy hypoechoic mixed with anechoic areas with poor sound transmission.Granulomatous lobular mastitis was easy to be misdiagnosed as malignant le-sions because of its disordered echo.Conclusions Mastering the ultrasound characteristics of non-lactation mastitis can help to improve the accuracy of diagnosis of non-lactation mastitis.